PHILIP A FRICK (Credential# 317312) 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.
PHILIP A FRICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032561. 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 Po Box 719, Niantic, CT 06357-0719. The current status is active.
| Licensee Name | PHILIP A FRICK |
| Credential ID | 317312 |
| Credential Number | CSP.0032561 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 719 Niantic CT 06357-0719 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-08-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 680893 | 12.002715 | Advanced Practice Registered Nurse | 2002-07-22 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 569210 | 10.065202 | Registered Nurse | 2001-02-13 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | PO BOX 719 |
| City | NIANTIC |
| State | CT |
| Zip Code | 06357-0719 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Young Sun Kim | 265 Roxbury Rd, Niantic, CT 06357 | Nail Technician | ~ |
| Melissa B Bender | 9 Hoskins St, Niantic, CT 06357 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Rachel Brennan | 8 Louise Drive, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tianhua Wang | 11 King Arthur Dr Unit 2h, Niantic, CT 06357 | Nail Technician | 2020-06-26 ~ 2022-02-28 |
| Maxwell V Nucci | 70 Smith St, Niantic, CT 06357 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Virada Lackey | 22 Sunnie Side Drive, Niantic, CT 06357 | Real Estate Salesperson | ~ |
| Niantic Cinema Corp | 279 Main St, Niantic, CT 06357 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Olivia M Blodgett | 30 Lake Ave, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine S Kleczkowski | P.o. Box 281, Niantic, CT 06357 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Robert W Cunningham | 9 South Rd., Niantic, CT 06357 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06357 | |||
| City | NIANTIC |
| Zip Code | 06357 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NIANTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip Y Wai | 100 Temple St Apt 202, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2006-03-28 ~ 2007-02-28 |
| Philip G Ong | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Philip Stein | 337 Alden Ave Apt 7, New Haven, CT 06515-2134 | Controlled Substance Registration for Practitioner | 2008-06-05 ~ 2009-02-28 |
| Philip A March | 6 Highland Sq, Avon, CT 06001-3309 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Simi A Philip | 14 Millbrook Ave, Tarrytown, NY 10591 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Philip J Lahey | 950 48th St Apt 7j, Brooklyn, NY 11219-2918 | Controlled Substance Registration for Practitioner | 2010-03-09 ~ 2011-02-28 |
| Philip W Askenase Md | 300 Cedar St Rm #s-215, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Philip L Fava II | 222 Castlewood Dr, Bloomfield, CT 06002-1370 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Philip Lahrmann Md | 25 Red Hill Dr, Glastonbury, CT 06033-3128 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip J. Piette Pa-c | 55 Cameron St, Pawtucket, RI 02861-1713 | Controlled Substance Registration for Practitioner | 2011-04-18 ~ 2013-02-28 |
Please comment or provide details below to improve the information on PHILIP A FRICK.
| 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).