PAMELA R HENDERSON (Credential# 222161) 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 ACTIVE.
PAMELA R HENDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028898. 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 299 Carew St Ste 400, Springfield, MA 01104-2361. The current status is active.
| Licensee Name | PAMELA R HENDERSON |
| Credential ID | 222161 |
| Credential Number | CSP.0028898 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
299 Carew St Ste 400 Springfield MA 01104-2361 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-10-19 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 555725 | 1.038135 | Physician/Surgeon | 1999-09-09 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pamela R Henderson | 16 Rockmeadow Road Unit J, Norwalk, CT 06850 | Notary Public Appointment | 2012-06-01 ~ 2017-05-31 |
| Street Address | 299 CAREW ST STE 400 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-2361 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karream J Warren | 11 Woodmont St., Springfield, MA 01104 | Barber | 2020-07-01 ~ 2022-06-30 |
| Gia Fenty | 22 Glenhorn St, Springfield, MA 01104 | Medication Administration Certification | 2020-06-10 ~ 2022-06-09 |
| Palmer Paving Corp | 1000 Page Blvd, Springfield, MA 01104 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Jamie L Kiniry | 21 Victoria Street, Springfield, MA 01104 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| David Joel Munoz | 1116 Stockman St, Springfield, MA 01104 | Barber | ~ |
| Nicole A Flamand | 1721 Carew St, Springfield, MA 01104 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Pathy Lee | 68 Cornwall Street, Springfield, MA 01104 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| J D Rivet and Company Inc | 1635 Page Blvd., Springfield, MA 01104 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Mackinzie Williamson | 47 Notre Dame St, Springfield, MA 01104 | Emergency Medical Technician | ~ |
| Paul S Farkas | Western Mass Gastro, Springfield, MA 01104 | Physician/surgeon | 1981-03-13 ~ 2018-01-31 |
| Find all Licenses in zip 01104 | |||
| City | SPRINGFIELD |
| Zip Code | 01104 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee W Henderson Md | Po Box 37, South Kent, CT 06785 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Brooke F Henderson Pa-c | 24 Ash Dr, Gales Ferry, CT 06335-1702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nikole J Henderson Pa-c | 38 Gallup Ln, Waterford, CT 06385-2242 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hilliard Spitz Md | 17 Henderson Rd, New London, CT 06320 | Controlled Substance Registration for Practitioner | 1993-01-06 ~ 1995-02-01 |
| Sharon Henderson Od | Lenscrafters, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wenting Hou Aprn | 20 Henderson Dr., Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2011-05-05 ~ 2013-02-28 |
| Maryellen C Silva Aprn | 141 Henderson Rd, Fairfield, CT 06824-4940 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristen F Henderson | 559 Coventry Drive, Nutley, NJ 07110 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rebecca Gagne Henderson | 360 W Rock Ave, New Haven, CT 06515-2106 | Controlled Substance Registration for Practitioner | 2020-05-14 ~ 2021-02-28 |
| Toni L Henderson | 234 Sherman Avenue, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 1995-10-25 ~ 1997-02-28 |
Please comment or provide details below to improve the information on PAMELA R HENDERSON.
| 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).