TRACY L JOHNSON DVM (Credential# 506214) 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.
TRACY L JOHNSON DVM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043694. 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 62 Grant Rd, Bethany, CT 06524-3063. The current status is active.
Licensee Name | TRACY L JOHNSON DVM |
Credential ID | 506214 |
Credential Number | CSP.0043694 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
62 Grant Rd Bethany CT 06524-3063 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2008-06-20 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
772156 | 47.002481 | Veterinarian | 1996-06-07 | 2020-02-01 - 2021-01-31 | ACTIVE |
Street Address | 62 GRANT RD |
City | BETHANY |
State | CT |
Zip Code | 06524-3063 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Catherine M Ford · Porto | 78 Tuttle Court, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Erin Mcknight | 24 Timber Ln, Bethany, CT 06524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cheryl A Bevvino | 106 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Catherine Geloso | 19 Amadeo Drive, Bethany, CT 06524 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Patricia Burke | 12 Miller Rd, Bethany, CT 06524 | Veterinarian | 2020-09-01 ~ 2021-08-31 |
Complete Excavating Services LLC | 674 Amity Rd, Bethany, CT 06524 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
Brian K Coutermarsh | 32 Emerald Lane, Bethany, CT 06524 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Michelle L Amato | 172 Russell Rd, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Joseph L Colaci | 57 Edwards Road, Bethany, CT 06524 | Nursing Home Administrator | 2020-05-01 ~ 2022-04-30 |
Karen C Praskievicz | 85 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 06524 |
City | BETHANY |
Zip Code | 06524 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BETHANY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tracy E Kim Md | 178 Linden St Apt #g-4, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Susan B Cleary Dvm | 16 Tracy Cir, Amherst, MA 01002-3235 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Tracy N. Huynh | 27 Hubinger St, New Haven, CT 06511-4034 | Controlled Substance Registration for Practitioner | 2011-06-28 ~ 2013-02-28 |
Tracy S Wang Md | 109 Church St Apt 401, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Tracy C Kania | 231 Winding Rdg, Southington, CT 06489-2114 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Tracy L Macintosh | 23 Oxbow Dr, Meriden, CT 06450-6938 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Tracy G Carmellini | 101 No Plains, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
Daniel W Tracy IIi | 100 Fanning Ave, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-05-08 ~ 2021-02-28 |
Tracy Shevell Md | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Tracy M Wright | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2009-10-19 ~ 2011-02-28 |
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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).