HEATHER W MYRICK (Credential# 1127341) 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.
HEATHER W MYRICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053868. 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 55 Pebble Dr, Southington, CT 06489-1751. The current status is active.
Licensee Name | HEATHER W MYRICK |
Credential ID | 1127341 |
Credential Number | CSP.0053868 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
55 Pebble Dr Southington CT 06489-1751 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2012-10-16 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-25 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1118435 | 12.005176 | Advanced Practice Registered Nurse | 2012-10-03 | 2019-07-01 - 2020-06-30 | ACTIVE |
655006 | 10.R55264 | Registered Nurse | 1998-03-27 | 2019-07-01 - 2020-06-30 | ACTIVE |
Street Address | 55 PEBBLE DR |
City | SOUTHINGTON |
State | CT |
Zip Code | 06489-1751 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06489 |
City | SOUTHINGTON |
Zip Code | 06489 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHINGTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Karen M Myrick | 65 Lyman Rd, West Hartford, CT 06117-1312 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Heather A Alfonso | 195 Joy Rd, Middlebury, CT 06762-2521 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Heather M Koning | 9 Longbrook Rd, Byfield, MA 01922-2811 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Heather H Burris Md | 330 Brookline Ave, Ro 318, Bld Mc Neo, Boston, MA 02215 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Heather L Carney | 140 Briarcliff Rd, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Heather Humphrey | 84 Portland St, Oakville, CT 06779-1032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Heather Ann Osborn | 35 Park St Fl 4, New Haven, CT 06519-1110 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Heather Tettelbach | 10 Valley Ln, Fairfield, CT 06825-1436 | Controlled Substance Registration for Practitioner | 2020-01-07 ~ 2021-02-28 |
Heather A Nodeland Pa-c | 317 E 34th St Fl 3, New York, NY 10016-4974 | Controlled Substance Registration for Practitioner | 2008-02-04 ~ 2009-02-28 |
Heather E Sullivan | 108 County Rd, Eastford, CT 06242 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).