ERIN FANNON (Credential# 1616760) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
ERIN FANNON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069912. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 996 Main St Apt 216, Branford, CT 06405-7708. The current status is inactive.
| Licensee Name | ERIN FANNON |
| Credential ID | 1616760 |
| Credential Number | CSP.0069912 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
996 Main St Apt 216 Branford CT 06405-7708 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2018-11-27 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1606770 | 12.007971 | Advanced Practice Registered Nurse | 2018-11-20 | 2018-11-20 - 2019-10-31 | INACTIVE |
| 1309195 | 10.129872 | Registered Nurse | 2015-10-01 | 2018-11-01 - 2019-10-31 | INACTIVE |
| 1309322 | 10.129425-TEMP | Registered Nurse - Temporary | 2015-09-08 | 2015-09-08 - 2016-01-05 | INACTIVE |
| Street Address | 996 MAIN ST APT 216 |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-7708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason R Meier | 996 Main St Apt 217, Branford, CT 06405-7708 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Little | 129 Woodland St, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Erin L Mclaughlin | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Erin K Mchale | 78 Olive St 208, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-10-08 ~ 2005-02-28 |
| Kamla T Jain Md | 9-a Erin St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Erin Kelly Walsh | 20 W End, Old Greenwich, CT 06870 | Controlled Substance Registration for Practitioner | 2020-06-25 ~ 2021-02-28 |
| Erin Malone | 144 Gannet Dr, Southington, CT 06489-1715 | Controlled Substance Registration for Practitioner | ~ |
| Erin Mccann | 11 Old Rock Ln, Norwalk, CT 06850-2206 | Controlled Substance Registration for Practitioner | 2019-10-22 ~ 2021-02-28 |
| Erin E King | 149 New Sweden Rd, Woodstock, CT 06281-3214 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Johnson | 10 Beardsley St, Shelton, CT 06484-6001 | Controlled Substance Registration for Practitioner | 2019-07-26 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ERIN FANNON.
| 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).