RAVEN ROBERTS HENDERSON DDS (Credential# 703915) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
RAVEN ROBERTS HENDERSON DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009463. The credential type is dentist. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 765 Straits Turnpike, Middlebury, CT 06762. The current status is active.
| Licensee Name | RAVEN ROBERTS HENDERSON DDS |
| Credential ID | 703915 |
| Credential Number | 2.009463 |
| Credential Type | Dentist |
| Business Address |
765 Straits Turnpike Middlebury CT 06762 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-06-29 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 414583 | CSP.0038211 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-08-29 | 2019-05-09 - 2021-02-28 | ACTIVE |
| Street Address | 765 Straits Turnpike |
| City | Middlebury |
| State | CT |
| Zip Code | 06762 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia E Rosa · Lambo | 76 East Farm Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathy Ann Calo · Bellino | 116 Carriage Drive, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Laurie V Massetti | 60 Yale Avenue, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timex Corp | Park Rd Ext, Middlebury, CT 06762 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Margaret E Mowrey | 57 Marney Drive, Middlebury, CT 06762 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Giuseppe Tripodi | 687 Straits Tpk, Middlebury, CT 06762 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Elise L Callahan | 77 Christian Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle King | 91 Kissewaug Rd, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michael F Simms IIi | 80 Burr Hall Road, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kelly M Barbaris | 62 Yale Avenue, Middlebury, CT 06762 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06762 | |||
| City | Middlebury |
| Zip Code | 06762 |
| License Type | Dentist |
| License Type + County | Dentist + Middlebury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raven Brands Inc · Raven Import Co | 78 Greenpoint Ave, Brooklyn, NY 11222-3886 | Out of State Shipper Beer | 2019-03-04 ~ 2020-03-03 |
| Raven Brands Inc | 815 Ditmos Ave, Brooklyn, NY 11218 | Out of State Shipper Beer | 2008-05-20 ~ 2009-05-19 |
| Chetan Baddam | 2110 Raven Tower Court, Herndon, VA 20170 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Theresa Roberts | 137 Henderson Dr., East Hartford, CT 06100 | Notary Public Appointment | 1984-10-26 ~ 1989-03-31 |
| Maryann Roberts | 137 Henderson Dr, East Hartford, CT 06108 | Notary Public Appointment | 1986-10-01 ~ 1991-03-31 |
| Lloyd N Roberts Sr. | 137 Henderson Drive, East Hartford, CT 06108 | Crane Operator | ~ |
| Raven's Edge LLC | 100 Whiting St Studio 412, Winsted, CT 06098-1878 | Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Raven Lawn | 52 Taos Drive, Danielson, CT 06239 | Public Community Living Arrangement | 2019-12-01 ~ 2021-11-30 |
| Raven's Edge, LLC | 100 Whiting St Studio 412, Winsted, CT 06098-1878 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Laurence Jay Levine | 2243 Cassatt Dr, Henderson, NV 89074-5065 | Dentist | 1968-07-03 ~ 1990-04-30 |
Please comment or provide details below to improve the information on RAVEN ROBERTS HENDERSON DDS.
| 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).