ROBERT L FAIR VMD (Credential# 162500) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 26, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ROBERT L FAIR VMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022764. The credential type is controlled substance registration for practitioner. The effective date is April 26, 2019. The expiration date is February 28, 2021. The business address is 208 Rte 81, Killingworth, CT 06419. The current status is active.
Licensee Name | ROBERT L FAIR VMD |
Credential ID | 162500 |
Credential Number | CSP.0022764 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
208 Rte 81 Killingworth CT 06419 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-03-01 |
Effective Date | 2019-04-26 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-04-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
771980 | 47.002304 | Veterinarian | 1993-06-04 | 2020-02-01 - 2021-01-31 | ACTIVE |
Street Address | 208 RTE 81 |
City | KILLINGWORTH |
State | CT |
Zip Code | 06419 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06419 |
City | KILLINGWORTH |
Zip Code | 06419 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KILLINGWORTH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Su Hsien Lim Md | 53 Fair St, Guilford, CT 06437-2601 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christopher M Young Md | 84 Fair St, Guilford, CT 06437-2723 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jennifer L Young | 84 Fair St, Guilford, CT 06437-2723 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Damien Fair Pa | 178 Willow St Apt 3, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2003-03-14 ~ 2004-02-28 |
Jensa C Morris Md | 6 Fair St, Guilford, CT 06437-2617 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Bart E Muhs Md | 53 Fair St., Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Eric J Mannes | 122 N Fair St Unit 2, Guilford, CT 06437-2481 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Victor Morris Md | 6 Fair Street, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Edward Hahn, Jr. | 38-58 Victoria Rd, Fair Lawn, NJ 07410-5033 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Marco A Rizzo | 43 South Fair St, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2020-04-27 ~ 2021-02-28 |
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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).