MELISSA S BOHAN-HALLENBECK (Credential# 1237156) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 3, 2018. The license expiration date date is February 28, 2019. The license status is LAPSED.
MELISSA S BOHAN-HALLENBECK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058355. The credential type is controlled substance registration for practitioner. The effective date is January 3, 2018. The expiration date is February 28, 2019. The business address is 5 Charles St, Putnam, CT 06260-2003. The current status is lapsed.
| Licensee Name | MELISSA S BOHAN-HALLENBECK |
| Credential ID | 1237156 |
| Credential Number | CSP.0058355 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Charles St Putnam CT 06260-2003 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2014-07-30 |
| Effective Date | 2018-01-03 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1231956 | 12.005798 | Advanced Practice Registered Nurse | 2014-07-25 | 2018-01-01 - 2018-12-31 | INACTIVE |
| 589579 | 10.085577 | Registered Nurse | 2008-07-14 | 2018-01-01 - 2018-12-31 | INACTIVE |
| Street Address | 5 CHARLES ST |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-2003 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roxanne K Buzanoski | 43 Charles St, Putnam, CT 06260-2003 | Hairdresser/cosmetician | 2015-12-01 ~ 2017-11-30 |
| Solina A. Espinoza | 43 Charles St, Putnam, CT 06260-2003 | Hairdresser/cosmetician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Neal | 69 Hawkins Road, Putnam, CT 06260 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kellys Tire Inc | 306 School St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Donna Dumas | 19 Arthur Street, Putnam, CT 06260 | Medication Administration Certification | 2020-07-16 ~ 2022-07-15 |
| Mcdonalds #13538 | 6 Rpovidence Pike, Putnam, CT 06260 | Frozen Dessert Retailer | 2020-06-22 ~ 2020-12-31 |
| Cynthia C Paquin | 95 Elvira Heights Road, Putnam, CT 06260 | Dental Hygienist | 2018-11-01 ~ 2019-10-31 |
| Scott J Grimmett · Price Chopper | 251 Kennedy Drive Ste A, Putnam, CT 06260 | Grocery Beer | 2020-08-08 ~ 2021-08-07 |
| Lyne A Grillo · Fauteux | 73-155 Perry St, Putnam, CT 06260 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Crossings Restaurant and Brew Pub (the) | 45-47 Main St, Putnam, CT 06260 | Manufacturer for Beer and Brew Pub | 2019-11-26 ~ 2021-03-25 |
| June Elizabeth Foley | 4 Libertyhighway, Putnam, CT 06260 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Kevin J Bates · K J B Bldg Works | 7 Rowe St, Putnam, CT 06260 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06260 | |||
| City | PUTNAM |
| Zip Code | 06260 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PUTNAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa E Ing Dmd | 119 Old Stage, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Melissa Joy | 13 Coult Ln, Old Lyme, CT 06371-1105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa J Dunleavy | Po Box 89, Oneco, CT 06373-0089 | Controlled Substance Registration for Practitioner | 2019-02-27 ~ 2021-02-28 |
| Melissa M Klaus | 511 Hearthstone Dr, Windsor, CT 06095-1640 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa Masaracchia | 40 Prospect Ave Bld 2 Apt 3a, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2011-08-22 ~ 2013-02-28 |
| Melissa Nelson | 74 Kennedy Rd, Manchester, CT 06042-2231 | Controlled Substance Registration for Practitioner | 2019-09-03 ~ 2021-02-28 |
| Melissa Ann Leek | 123 Lavender Ln, Springtown, TX 76082-1179 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa R Held | 20 Old Yankee Way, Durham, CT 06422-1641 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa Jenkins Lee | 228 E Bass Ln, Suffield, CT 06078-1956 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
| Melissa D Carroll Dvm | 78 Edwards St # 2, New Haven, CT 06511-3914 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
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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).