DANIEL BENJAMIN LAX (Credential# 1679343) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 25, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DANIEL BENJAMIN LAX is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072066. The credential type is controlled substance registration for practitioner. The effective date is July 25, 2019. The expiration date is February 28, 2021. The business address is 4 Corporate Dr Ste 484, Shelton, CT 06484-6241. The current status is active.
| Licensee Name | DANIEL BENJAMIN LAX |
| Credential ID | 1679343 |
| Credential Number | CSP.0072066 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4 Corporate Dr Ste 484 Shelton CT 06484-6241 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-25 |
| Effective Date | 2019-07-25 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1663544 | 1.064021 | Physician/Surgeon | 2019-07-25 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 4 CORPORATE DR STE 484 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-6241 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dworken Hillman Lamorte & Sterczala LLP | 4 Corporate Dr Ste 488, Shelton, CT 06484-6241 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Mark Pires | 4 Corporate Dr Ste 488, Shelton, CT 06484-6241 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Kathryn Regan | 4 Corporate Dr Ste 488, Shelton, CT 06484-6241 | Certified Public Accountant License | 2019-10-30 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benjamin Evenchik | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-11-14 ~ 2013-02-28 |
| Edward H Benjamin Md | 7 Elm St Suite #307, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Arnold Benjamin | 93 West Rd, Ellington, CT 06029 | Controlled Substance Registration for Practitioner | 2019-04-25 ~ 2021-02-28 |
| Benjamin Chu | 85 Retreat Avenue, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benjamin Young | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benjamin Read | 3 Alder Way, Bedford, MA 01730-1062 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Benjamin M Schultz | 162 Warde Ter, Fairfield, CT 06825-3633 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benjamin L Kliot | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2019-03-28 ~ 2021-02-28 |
| Benjamin Yeboah | 15 Roxbury Ct, Cheshire, CT 06410-1511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benjamin A Tsao | 40 Prospect Ave., Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on DANIEL BENJAMIN LAX.
| 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).