BERNICE D GRIFFITH (Credential# 228311) 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.
BERNICE D GRIFFITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029075. 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 10400 Breckinridge Lane, Fairfax, VA 22030. The current status is active.
| Licensee Name | BERNICE D GRIFFITH |
| Credential ID | 228311 |
| Credential Number | CSP.0029075 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
10400 Breckinridge Lane Fairfax VA 22030 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-12-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 554364 | 1.036773 | Physician/Surgeon | 1998-04-09 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 10400 BRECKINRIDGE LANE |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ensheng He | 10814 Ann Street, Fairfax, VA 22030 | Massage Therapist | 2020-05-01 ~ 2022-04-30 |
| Tashina L Miller | 9816 Hampton Lane, Fairfac, VA 22030 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Sherif Khaled Amed Mohieeldin Zayed | 4417 Dixie Hill Rd. Apt #201, Fairfax, VA 22030 | Certified Public Accountant License | 2020-03-02 ~ 2020-12-31 |
| Barry M Silverstein | 4311 Hackney Coach Ln, Fairfax, VA 22030 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Elizabeth C Burkhart | 10201 Fairfax Boulevard, Fairfax, VA 22030 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Nirmal Khadka | 3930 Pender Dr Ste#175, Fairfax, VA 22030 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Manolisa T Cornel-manaloto | 11848 Robertson Farm Circle, Fairfax, VA 22030 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Farhad Moaddel | 11786 Rockaway Lane, Fairfax, VA 22030 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Laura A Carrubba | 3835 Farrcroft Drive, Fairfax, VA 22030 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Jon W Sammer | 3921 Old Lee Highway #72 B, Fairfax, VA 22030 | Architect | 2019-08-01 ~ 2020-07-31 |
| Find all Licenses in zip 22030 | |||
| City | FAIRFAX |
| Zip Code | 22030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFAX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly Ann Griffith | 76 New Britain Ave, Hartford, CT 06106-3305 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bernice Ng | 64 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Karen Avril Griffith | 579 E 83rd St, Brooklyn, NY 11236-3114 | Controlled Substance Registration for Practitioner | 2017-05-06 ~ 2019-02-28 |
| John G Griffith Dds | 67 Academy Hill, Watertown, CT 06795 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| John Griffith | 360 Tolland Tpke Ste 3b, Manchester, CT 06042-1770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ifeyinwa Bernice Obi Lnm | 10 Hawthorne Ave, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Faith Marie Lemieux | 2808 Griffith St, Charlotte, NC 28203 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jared A Griffith Do | 2591 Miamisburg-centerville Rd, Dayton, OH 45459 | Controlled Substance Registration for Practitioner | 2013-03-30 ~ 2015-02-28 |
| Ezra E. H. Griffith Md | Yale University School of Medicine, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Md James J. Griffith | Norwalk Medical Group, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 1994-11-17 ~ 1996-09-01 |
Please comment or provide details below to improve the information on BERNICE D GRIFFITH.
| 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).