DAHLIA A SAAD PENDERGRASS (Credential# 938430) 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.
DAHLIA A SAAD PENDERGRASS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047876. 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 423 Mountain Rd, West Hartford, CT 06107-1030. The current status is active.
| Licensee Name | DAHLIA A SAAD PENDERGRASS |
| Credential ID | 938430 |
| Credential Number | CSP.0047876 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
423 Mountain Rd West Hartford CT 06107-1030 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-09-10 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 937490 | 1.049137 | Physician/Surgeon | 2010-08-18 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 423 MOUNTAIN RD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-1030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janelle C Fern | 411 Mountain Rd, West Hartford, CT 06107-1030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William H Eason | 411 Mountain Rd, West Hartford, CT 06107-1030 | Wholesaler Salesman | 2013-02-28 ~ 2015-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ahmed Saad | Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2016-08-01 ~ 2017-02-28 |
| Sadia Saad | 12 Fairview Tr, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Melissa A Saad | 24 Hospital Ave, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Saad A Qadwai | 46 Angela Dr, Wallingford, CT 06492-1780 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ahmad N Saad | 14 Lyon St # 3, New Haven, CT 06511-4926 | Controlled Substance Registration for Practitioner | 2011-04-21 ~ 2013-02-28 |
| M Saad K Sikanderkhel | 112 Pompano Ave, Galveston, TX 77550-3130 | Controlled Substance Registration for Practitioner | 2017-06-14 ~ 2019-02-28 |
| Toufic T Saad Md | 40 Prospect Ave Apt 2-1m, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Ibnalwalid Saad | 10 Taft Pt Apt 3, Waterbury, CT 06708-3965 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Dahlia Plummer | 41 Germantown Rd Ste 101, Danbury, CT 06810-4087 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Saad H Hashmi | 297 George Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2011-04-14 ~ 2013-02-28 |
Please comment or provide details below to improve the information on DAHLIA A SAAD PENDERGRASS.
| 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).