OLIVIA J KOUKOULARIS (Credential# 1246876) 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.
OLIVIA J KOUKOULARIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058754. 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 4 Cavasin Dr, East Lyme, CT 06333-1307. The current status is active.
| Licensee Name | OLIVIA J KOUKOULARIS |
| Credential ID | 1246876 |
| Credential Number | CSP.0058754 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4 Cavasin Dr East Lyme CT 06333-1307 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-09-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1241383 | 23.003202 | Physician Assistant | 2014-09-23 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 850626 | 70.010893 | Emergency Medical Technician | 2009-06-23 | 2010-11-05 - 2014-03-31 | INACTIVE |
| Street Address | 4 CAVASIN DR |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333-1307 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William R Martin | 18 Cavasin Dr, East Lyme, CT 06333-1307 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany Pearson | 6201 Maple Tree Lane, East Lyme, CT 06333 | Behavior Analyst | ~ |
| Aura M Serdici | 7 Ferro Dr, East Lyme, CT 06333 | Esthetician | ~ |
| Lawrence J Darling Jr · Darling Carpentry | 61 Mostowy Rd, East Lyme, CT 06333 | Home Improvement Contractor | 2020-06-19 ~ 2020-11-30 |
| Sandeep B Varma | 30 Plum Hill Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Peter J Famiglietti Md | 339 Flanders Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Beth A Stoddard | 8 Greentree Drive, East Lyme, CT 06333 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott's Yankee Farmer | 291 N Bride Brook Rd, East Lyme, CT 06333 | Apple Juice & Cider Manufacturer | 2020-07-01 ~ 2021-06-30 |
| Katherine E Whalen | 339 Flanders Rd Ste 109, East Lyme, CT 06333 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| May L Diep | 88 Arbor Crossing, East Lyme, CT 06333 | Nail Technician | ~ |
| Cash True Value | 300 Flanders Rd, East Lyme, CT 06333 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06333 | |||
| City | EAST LYME |
| Zip Code | 06333 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle Olivia Dao | 326 Washington St., Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2017-05-23 ~ 2019-02-28 |
| Olivia D Carter | 213 Glen St, New Britain, CT 06051-3027 | Controlled Substance Registration for Practitioner | 2019-01-07 ~ 2021-02-28 |
| Olivia R Enright | 42 Ridge Street, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Olivia R Wright Md | 922 Quinnipiac Ave Apt #3, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 1999-03-26 ~ 2000-02-28 |
| Chloe Olivia Zimmerman | 20 York St Rm 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
| Olivia J Carpinello IIi | 101 N Main St, West Hartford, CT 06107-1925 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Olivia J Stumpf | 134 Popes Island Rd, Milford, CT 06461-1738 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Olivia Gail Hayward | 2390 State St Apt 5c, Hamden, CT 06517-3714 | Controlled Substance Registration for Practitioner | 2020-01-30 ~ 2021-02-28 |
| Olivia M Kousky Pa-c | 521 Boston Post Road, Orange, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Olivia N Newton | 59a Brookwood Drive, Rocky Hill, CT 06067 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
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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).