LAWRENCE S BENJAMIN (Credential# 2058724) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 24, 2020. The license expiration date date is February 28, 2021. The license status is APPROVED.
LAWRENCE S BENJAMIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074646. The credential type is controlled substance registration for practitioner. The effective date is June 24, 2020. The expiration date is February 28, 2021. The business address is 875 Enfield St, Enfield, CT 06082-3617. The current status is approved.
| Licensee Name | LAWRENCE S BENJAMIN |
| Credential ID | 2058724 |
| Credential Number | CSP.0074646 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
875 Enfield St Enfield CT 06082-3617 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-24 |
| Effective Date | 2020-06-24 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1788736 | CSP.0072486 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-09-26 | 2019-09-26 - 2021-02-28 | ACTIVE |
| 1674076 | 23.004605 | Physician Assistant | 2019-09-20 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 875 ENFIELD ST |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-3617 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cvs Pharmacy #750 | 875 Enfield St, Enfield, CT 06082-3617 | Retail Dairy Store | 2019-07-01 ~ 2021-06-30 |
| Kellie A Fenton | 875 Enfield St, Enfield, CT 06082-3617 | Pharmacy Technician | 2014-01-29 ~ 2015-03-31 |
| Cvs Pharmacy 750 | 875 Enfield St, Enfield, CT 06082 | Pharmacy | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ENFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benjamin Kelmendi | 180 Lawrence Street, New Haven, CT 06511-2417 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
| Benjamin Greenblatt | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arnold Benjamin | 93 West Rd, Ellington, CT 06029 | Controlled Substance Registration for Practitioner | 2019-04-25 ~ 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 A Rodwin | 70 Fountain St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laura Bujold | 3 Benjamin Rd, Ellington, CT 06029 | 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 Levy Md | 47 Westwood Rd, W Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Please comment or provide details below to improve the information on LAWRENCE S BENJAMIN.
| 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).