BETH B HERRICK (Credential# 160047) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 11, 1994. The license expiration date date is October 1, 1996. The license status is INACTIVE.
BETH B HERRICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017405. The credential type is controlled substance registration for practitioner. The effective date is October 11, 1994. The expiration date is October 1, 1996. The business address is 5 Shanda Lane, Tolland, CT 06084. The current status is inactive.
| Licensee Name | BETH B HERRICK |
| Credential ID | 160047 |
| Credential Number | CSP.0017405 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Shanda Lane Tolland CT 06084 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Effective Date | 1994-10-11 |
| Expiration Date | 1996-10-01 |
| Refresh Date | 2004-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 548229 | 1.030100 | Physician/Surgeon | 1989-07-07 | 1993-03-24 - 1994-03-31 | INACTIVE |
| Street Address | 5 SHANDA LANE |
| City | TOLLAND |
| State | CT |
| Zip Code | 06084 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Lee Manzi | 5 Shanda Lane, Tolland, CT 06084 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janice M Heldmann-o'connell · Heldmann | 18 Thomas Dr, Tolland, CT 06084 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Barbara Ann Stebbins | 18 Midland Drive, Tolland, CT 06084 | Registered Nurse | ~ |
| Carrie Elizabeth Gill | 63 Hill Top Road, Tolland, CT 06084 | Behavior Analyst | ~ |
| Kollas Apple Orchard | 41 New Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Frederick M Daniels Dds | 12 Goose Lane, Tolland, CT 06084 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Pat's Power Equipment LLC | 401 Merrow Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Keri A Johnson | 224 Buff Cap Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Clifford Vernor Dunn, IIi | 44 Birch Hill Dr., Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Aimee Wendy Johnson | 175 South River Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Peter D Staiger Md | David E. Palozej Eyecare Associates, Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06084 | |||
| City | TOLLAND |
| Zip Code | 06084 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TOLLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcy Ann Mcintosh | 193 Herrick Rd, Riverside, IL 60546-2045 | Controlled Substance Registration for Practitioner | 2019-09-20 ~ 2021-02-28 |
| Susana Herrick Dds | 622 Hebron Ave Ste 105, Glastonbury, CT 06033-5003 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Timothy W Herrick | 91 Camp Street, Hyannis, MA 02601 | Controlled Substance Registration for Practitioner | 2000-03-03 ~ 2001-02-28 |
| Drew Herrick | 17 R Mica Hill, Durham, CT 06422 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beth T Fracasso | 305 Old Ln Rd, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beth L Whitney | 123 W Center St, Norwalk, CT 06854 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beth Carella | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2009-08-27 ~ 2011-02-28 |
| Beth Panoff | 21 Melrose Ave Fl 2, Greenwich, CT 06830-6212 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Beth Villodas | 196 East St, Stafford, CT 06076 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beth E Whiteside Md | 37 Tobey Ave, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2007-03-06 ~ 2008-02-29 |
Please comment or provide details below to improve the information on BETH B HERRICK.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).