ERICA L HERZOG (Credential# 318690) 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.
ERICA L HERZOG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032583. 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 122 Nicoll St, New Haven, CT 06511-2622. The current status is active.
| Licensee Name | ERICA L HERZOG |
| Credential ID | 318690 |
| Credential Number | CSP.0032583 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
122 Nicoll St New Haven CT 06511-2622 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-08-06 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 557209 | 1.039625 | Physician/Surgeon | 2001-06-15 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 924558 | CSL.0000926 | CONTROLLED SUBSTANCE LABORATORY | - | PENDING |
| Street Address | 122 NICOLL ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-2622 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raimund I Herzog | 122 Nicoll St, New Haven, CT 06511-2622 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William P Contois · Contois Tavern | 150 Nicoll St, New Haven, CT 06511-2622 | Restaurant Liquor | 2020-04-30 ~ 2021-08-29 |
| Angela Treanor | 108 Nicoll St, New Haven, CT 06511-2622 | Registered Nurse | 2018-11-01 ~ 2019-10-31 |
| Eric A Dieckman | 84 Nicoll St # 1, New Haven, CT 06511-2622 | Emergency Medical Technician | ~ |
| Brydell M Bailey | 114 Nicoll St, New Haven, CT 06511-2622 | Plumbing & Piping Unlimited Journeyperson | 2019-11-08 ~ 2020-10-31 |
| Andrew W Christie | 90 Nicoll St, New Haven, CT 06511-2622 | Emergency Medical Technician | 2019-09-23 ~ 2022-06-30 |
| Franklin Henninges · All Angles | 104 Nicoll St, New Haven, CT 06511-2622 | Home Improvement Contractor | ~ |
| Robert N Schmidt | 70 Nicoll St, New Haven, CT 06511-2622 | Public Service Technician - Telephone | 2008-10-01 ~ 2009-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raimund I Herzog | 122 Nicoll St, New Haven, CT 06511-2622 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alfred Herzog | 200 Retreat Avenue, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Keri A Herzog | 687 Main Street, Branford, CT 06405-3828 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary Kathryn Herzog Smith | 25 Tower Hill Rd, Clinton, CT 06413-1242 | Controlled Substance Registration for Practitioner | 2019-10-21 ~ 2021-02-28 |
| Erica R Gross | Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Erica Guerricaechebarria | 292 South St, Hartford, CT 06114-2440 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erica F Robinson | 55 Derbyshire, New Haven, CT 06418 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Erica E Ruvolo | 515 Woodgate Cir, Enfield, CT 06082-5578 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Erica R Brown | 65 Mcallister Rd, Bedford, NH 03110-5327 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erica R Seebeck | 249 Danbury Rd, Wilton, CT 06897-4010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ERICA L HERZOG.
| 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).