GORDON E FOSDICK (Credential# 231564) 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.
GORDON E FOSDICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029390. 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 470 Main St, Middlefield, CT 06455. The current status is active.
| Licensee Name | GORDON E FOSDICK |
| Credential ID | 231564 |
| Credential Number | CSP.0029390 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
470 Main St Middlefield CT 06455 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-03-31 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 699160 | 19.000723 | Podiatrist | 2000-03-10 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 470 MAIN ST |
| City | MIDDLEFIELD |
| State | CT |
| Zip Code | 06455 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald N Brombacker Dds | 470 Main St, Middlefield, CT 06455 | Controlled Substance Registration for Practitioner | 2013-04-12 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Bekui Md | 17 Orchard Lane, Middlefield, CT 06455 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Millicent M Malcolm | 369 Baileyville Rd, Middlefield, CT 06455 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Joanne Giardina | 28 Valley Heights Dr, Middlefield, CT 06455 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Adam E Perrin Md · Mhs Primary Care Incorporated | 400 Baileyville Road, Middlefield, CT 06455 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lyman Orchards Apple Barrel | Route 157, Middlefield, CT 06455 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Infinity Building LLC | 10 Levesque Rd, Middlefield, CT 06455 | Home Improvement Contractor | 2020-06-17 ~ 2020-11-30 |
| Mark Albin Dvm | Powder Ridge Vet Hospital, Middlefield, CT 06455 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Pamela M Branciforte | 115 Cherry Hill Rd, Middlefield, CT 06455 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Megan E Etheridge | 86 School Street, Middlefield, CT 06455 | Real Estate Salesperson | 2020-06-08 ~ 2021-05-31 |
| Z Jan Wojas | 5 Race Track Hollow, Middlefield, CT 06455 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06455 | |||
| City | MIDDLEFIELD |
| Zip Code | 06455 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Trisha K Kiliany Aprn | 4810 Pt Fosdick Drive Nw, Gig Harbor, WA 98335 | Controlled Substance Registration for Practitioner | 2013-12-29 ~ 2015-02-28 |
| Rachel Gordon | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Gene S Gordon | 3 Waterville Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Jessica S Gordon | 2 Talcott Gln, Farmington, CT 06032-3521 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gordon Goodman Md | 101 Academy St, Manlius, NY 13104 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Laurie A Gordon | 79 Lakewind Rd, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randy D Gordon Dds | 21 Adams Rd, Weatogue, CT 06089 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Michael E Gordon Jr | 35 Willard St Apt.6a, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Donald G Gordon | 153 S Main St, Newtown, CT 06470-2791 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gordon C Pittard | 56 Franklin St, Waterbury, CT 06702 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on GORDON E FOSDICK.
| 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).