INGRID M FEDER MD (Credential# 289721) 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.
INGRID M FEDER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031451. 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 986 Norwich New London Tpke, Uncasville, CT 06382-1928. The current status is active.
| Licensee Name | INGRID M FEDER MD |
| Credential ID | 289721 |
| Credential Number | CSP.0031451 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
986 Norwich New London Tpke Uncasville CT 06382-1928 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-10-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 557517 | 1.039934 | Physician/Surgeon | 2001-10-15 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 986 NORWICH NEW LONDON TPKE |
| City | UNCASVILLE |
| State | CT |
| Zip Code | 06382-1928 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Corrigan Correctional Institution | 986 Norwich New London Tpke, Uncasville, CT 06382-1928 | Nurse Aide Training Program-other | 2008-07-17 ~ 2021-10-31 |
| Cynthia L'heureux | 986 Norwich New London Tpke, Uncasville, CT 06382-1928 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James Arthur Peek IIi | 986 Norwich New London Tpke, Uncasville, CT 06382-1928 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Marissa F Barroga | 986 Norwich New London Tpke, Uncasville, CT 06382-1928 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Pathways Corrigan | 986 Norwich New London Tpke, Uncasville, CT 06382-1928 | Substance Abuse | 2018-11-13 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Regina A Strand Od | 2020 Route 32, Uncasville, CT 06382 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Heather Laithwaite Couch | 94 Richard Brown Drive, Uncasville, CT 06382 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Karissa D. Farmer | 88 Park Ave, Uncasville, CT 06382 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ashley Vitale | 29 Carol Drive, Uncasville, CT 06382 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michele T. Lemieux | 32 Podurgiel Lane, Uncasville, CT 06382 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelica R Royer | 64 Fort Shantok Rd, Uncasville, CT 06382 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Thomas C Peter Md | 88 Norwich-new London Tpke, Uncasville, CT 06382 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Herb's Country Store | 1115 Norwich-new London Tpke, Uncasville, CT 06382 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sharon M Leone | 26 Marcia Drive, Uncasville, CT 06382 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Jiang M Han | 114 B Woodland Dr, Uncasville, CT 06382 | Casino Class I Employee | 2019-12-03 ~ 2020-03-09 |
| Find all Licenses in zip 06382 | |||
| City | UNCASVILLE |
| Zip Code | 06382 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + UNCASVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shelli L Feder | 25 Hobart Street, New Haven, CT 06511-3544 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ingrid Grafals | 35 Nod Rd Ste 201, Avon, CT 06001-3826 | Controlled Substance Registration for Practitioner | 2019-03-11 ~ 2021-02-28 |
| Ingrid Remigino Dmd | 59 Anvil Dr, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ingrid A Schmidt Dvm | 70 Arden Ln, Stamford, CT 06905-1724 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ingrid Mody | 72 Godfrey Rd W, Weston, CT 06883-1300 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Ingrid Mudge | 210 Fenimore Rd, Mamaroneck, NY 10543-3519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ingrid K Gindin | 47 Avonwood Rd Apt 216, Avon, CT 06001-2014 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Ingrid Brinkman | 2336 Albans Rd, Houston, TX 77005-1563 | Controlled Substance Registration for Practitioner | 2016-01-09 ~ 2017-02-28 |
| Ingrid Gonzalez Md | 519 Aspen Glen Dr, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Ingrid Olsson | 500 Chase Parkway, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).