NICOLAJ ANDERSEN MD (Credential# 317155) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.
NICOLAJ ANDERSEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032560. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 21 Dorrance Place, Hamden, CT 06518. The current status is inactive.
| Licensee Name | NICOLAJ ANDERSEN MD |
| Credential ID | 317155 |
| Credential Number | CSP.0032560 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
21 Dorrance Place Hamden CT 06518 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2005-03-01 |
| Expiration Date | 2006-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 558015 | 1.040432 | Physician/Surgeon | 2002-05-15 | 2002-05-15 - 2003-02-28 | INACTIVE |
| Street Address | 21 DORRANCE PLACE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeremy T Kodzik | 21 Dorrance Place, Hamden, CT 06518 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Katelyn F Andrew | 21 Dorrance Place, Hamden, CT 06518 | Physical Therapist | 2011-11-01 ~ 2012-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | HAMDEN |
| Zip Code | 06518 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew H Andersen | 88 Obtuse Rd S, Brookfield, CT 06804-3131 | Controlled Substance Registration for Practitioner | 2009-09-10 ~ 2011-02-28 |
| Michelle A Cretella Md | 20 Andersen Ct, Westerly, RI 02891-3712 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Heidi Andersen | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Karl A Andersen | 60b Jefferson Street, Bangor, ME 04401 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Beth Andersen Pa | 1320 W Main St Bldg 2, Waterbury, CT 06708-3131 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patricia L Andersen-beaman Dvm | 35 Fishtown Lane, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andersen Co Inc (the) | 96 Alexandra Drive, Stamford, CT 06903 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Andersen Oil Co | 4 Colby Dr, Ledyard, CT 06339-1539 | Motor Fuel Quality Registration | 2019-11-01 ~ 2020-10-31 |
| Andersen Lbv | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2010-03-29 ~ 2013-03-27 |
| Glenn Andersen · Glenn Andersen Carpentry | 7 Sideway, Purdys, NY 10578 | Home Improvement Contractor | 2005-12-01 ~ 2006-11-30 |
Please comment or provide details below to improve the information on NICOLAJ ANDERSEN MD.
| 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).