ROBERT R CROSS MD (Credential# 405433) 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.
ROBERT R CROSS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037513. 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 11 Fordam Trail, Old Saybrook, CT 06475. The current status is active.
| Licensee Name | ROBERT R CROSS MD |
| Credential ID | 405433 |
| Credential Number | CSP.0037513 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
11 Fordam Trail Old Saybrook CT 06475 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-05-20 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547171 | 1.028449 | Physician/Surgeon | 1987-08-21 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 1314158 | CSP.0061540 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-09-30 | 2015-09-30 - 2017-02-28 | INACTIVE |
| 159531 | CSP.0020184 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-03-17 - 2005-02-28 | INACTIVE |
| Street Address | 11 Fordam Trail |
| City | Old Saybrook |
| State | CT |
| Zip Code | 06475 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
| Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06475 | |||
| City | Old Saybrook |
| Zip Code | 06475 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Old Saybrook |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin A Cross Md | Po Box 362, Kedrsavge, NH 03847 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Keith P Cross | 925 Mix Ave Apt 1-h, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Carolyn R Simmelink | 117 Cross Hwy, Redding, CT 06896-2406 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Wieder | 1 Cross St, Gardner, MA 01440-2213 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Richard K Stiverson Md | 40 Cross St, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| James D Cross Md | 151 Farmington Ave, Hartford, CT 06156-0001 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Dennis W Sindel | 112 Cross Rd, Waterford, CT 06385-1204 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin D Cross Dds | 410 Saybrook Rd Ste 202, Middletown, CT 06457-4777 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Colleen C Hickey | 63 Cross Rd, Middlebury, CT 06762-3017 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Alison Joy Leff | 40 Cross St Fl 4, Norwalk, CT 06851-4647 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).