DAVID D HENDERSON (Credential# 545041) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
DAVID D HENDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024530. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 135 Town St, East Haddam, CT 06423-1458. The current status is active.
| Licensee Name | DAVID D HENDERSON |
| Credential ID | 545041 |
| Credential Number | 1.024530 |
| Credential Type | Physician/Surgeon |
| Business Address |
135 Town St East Haddam CT 06423-1458 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1983-11-01 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 536039 | CSP.0045671 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-06-23 | 2019-07-18 - 2021-02-28 | ACTIVE |
| 410228 | CSP.0037778 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-07-07 | 2008-05-23 - 2009-02-28 | INACTIVE |
| 155798 | CSP.0013654 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-03-04 - 2005-02-28 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David D Henderson | 1080a Chamberlain Hill Rd, Middletown, CT 06457-5564 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Street Address | 135 TOWN ST |
| City | EAST HADDAM |
| State | CT |
| Zip Code | 06423-1458 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ale for Tails LLC | 135 Town St, East Haddam, CT 06423-1458 | Commercial Feed | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert J Czaja | 155 Town St, East Haddam, CT 06423-1458 | Elevator Unlimited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Audrey H Kyle-oates | P O Box 23, East Haddam, CT 06423 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Roy Rogers | 18 Cove Road, East Haddam, CT 06423 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Allison L Cappitella Aprn | 31 Bogue Lane, East Haddam, CT 06423 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Staehly Farm Winery | 274-278 Town St, East Haddam, CT 06423 | Farmer's Market Permit | 2020-05-30 ~ 2021-05-29 |
| Gail Smoloski-heil · Smoloski | 155 Parker Road, East Haddam, CT 06423 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| J. Christopher Backes | 55 Main Street, East Haddam, CT 06423 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Rachael Finch | 342 Mt. Parnassus Road, East Haddam, CT 06423 | Medication Administration Certification | ~ |
| Change A Life Dog Rescue, Inc. · N/a | 9 Ridge Road, East Haddam, CT 06423 | Public Charity | 2020-06-11 ~ 2021-11-30 |
| George Fellner | P.o. Box 115, East Haddam, CT 06423 | Architect | 2020-08-01 ~ 2021-07-31 |
| Maureen K Goff | 180 Daniel Peck Rd, East Haddam, CT 06423 | Real Estate Salesperson | 2020-06-08 ~ 2021-05-31 |
| Find all Licenses in zip 06423 | |||
| City | EAST HADDAM |
| Zip Code | 06423 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EAST HADDAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David B Yanoff Md | 2062 Pepperell Ave, Henderson, NV 89044 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Galen M Eversole | R & R Md, Henderson, NV 89074 | Physician/surgeon | 2011-11-01 ~ 2012-10-31 |
| David J Henderson · Henderson / Gill Bros | 2041 N Broad St, Meriden, CT 06450 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Jason S Henderson D O | 4 Farm Dr, Farmington, CT 06032 | Physician/surgeon | 2002-10-03 ~ 2003-08-31 |
| Cynthia B Malixi | 267 Buckskin St, Henderson, NV 89014 | Physician/surgeon | 1995-11-16 ~ 1996-10-31 |
| John R. Wohlwend | 12 Sankaty Cir, Henderson, NV 89052-6670 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Kimberly J Henderson | 24 State Rte. 727, Ansonia, CT 06401 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Micheal P Henderson Md | 281 Willow St, New Haven, CT 06511 | Physician/surgeon | 2004-04-30 ~ 2005-04-30 |
| Ching-yi Yu | 2313 Rosendale Village Ave, Henderson, NV 89052-8731 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Rajiv Shah | 1676 Tangiers Dr, Henderson, NV 89012-7236 | Physician/surgeon | 2011-01-01 ~ 2011-12-31 |
Please comment or provide details below to improve the information on DAVID D HENDERSON.
| 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).