NICOLE GOULET
Controlled Substance Registration for Practitioner


Address: 263 Farmington Ave # Mc-3955, Farmington, CT 06030-0002

NICOLE GOULET (Credential# 1024626) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

NICOLE GOULET is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050908. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 263 Farmington Ave # Mc-3955, Farmington, CT 06030-0002. The current status is inactive.

Basic Information

Licensee Name NICOLE GOULET
Credential ID 1024626
Credential Number CSP.0050908
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 263 Farmington Ave # Mc-3955
Farmington
CT 06030-0002
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-08-12
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 263 FARMINGTON AVE # MC-3955
City FARMINGTON
State CT
Zip Code 06030-0002

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Benjamin Schmidt 263 Farmington Ave # Mc-3955, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Michael Hagar 263 Farmington Ave # Mc-3955, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-15 ~ 2015-02-28
Stephanie M Rubino 263 Farmington Ave # Mc-3955, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Tina Thomas 263 Farmington Ave # Mc-3955, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-25 ~ 2015-02-28
Hoyt Doak Iv 263 Farmington Ave # Mc-3955, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Evan Johnson 263 Farmington Ave # Mc-3955, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2011-08-12 ~ 2013-02-28
Syed Razi 263 Farmington Ave # Mc-3955, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2011-07-27 ~ 2013-02-28
Leonard Copertino 263 Farmington Ave # Mc-3955, Farmington, CT 06030-0001 Controlled Substance Registration for Practitioner 2011-11-15 ~ 2013-02-28
Paul Anthony Del Prado 263 Farmington Ave # Mc-3955, Farmington, CT 06030-0001 Controlled Substance Registration for Practitioner 2011-11-22 ~ 2013-02-28
David T Luyimbazi 263 Farmington Ave # Mc-3955, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2011-11-03 ~ 2013-02-28
Find all Licenses in the same address

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Kimberly Henderson 263 Farmington Ave # Mc2947, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Annabelle Rae B Chua 263 Farmington Ave # Mc-1234, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Robert Stewart 263 Farmington Ave # Mc1234, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-11 ~ 2015-02-28
Mohamed Swedeh 263 Farmington Ave # Mc1321, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Veronica L Tucker 263 Farmington Ave # Mc1930, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Dhruva Chawla 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-04-03 ~ 2015-02-28
Rahul Patel 263 Farmington Ave # Mc-1930, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-06 ~ 2015-02-28
Algenon Parson 263 Farmington Ave # Mc-2015, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-07 ~ 2015-02-28
Cory Edgar 263 Farmington Ave # Mc-4037, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Richard Shamo 263 Farmington Ave # Mc-1720, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Find all Licenses in zip 06030-0002

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Eric Anthony Brueckner 263 Farmington Ave., Farmington, CT 06030 Physician/surgeon 2020-08-01 ~ 2021-07-31
Derrick B Bremang Residency Program, Farmington, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-06-30
David M Shafer Uconn Health Center, Farmington, CT 06030 Dentist 2020-07-01 ~ 2021-06-30
Michael J Murphy Dept of Dermatology, Farmington, CT 06030 Physician/surgeon 2020-09-01 ~ 2021-08-31
Richard F Kaplan Univ. of Ct., Farmington, CT 06030 Psychologist 2020-06-01 ~ 2021-05-31
Nicholas George Vitale 22 Woods Drive, Norwich, CT 06030 Casino Class I Employee 2019-12-03 ~ 2020-10-31
Bruce E Gould Univ of Conn Health Center, Farmington, CT 06030 Physician/surgeon 2020-04-01 ~ 2021-03-31
Vinayak M Sathe Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-05-31
Shobhana Pathani Department of Medicine, 263 Farmington Ave, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-05-31
Patricia L Almeida John Dempsey Hospital, Farmington, CT 06030 Registered Nurse 2020-04-01 ~ 2021-03-31
Find all Licenses in zip 06030

Competitor

Search similar business entities

City FARMINGTON
Zip Code 06030
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

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Dataset Information

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).

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