JENINE E BOILEAU (Credential# 1281625) 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 INACTIVE.
JENINE E BOILEAU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059962. 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 36 Eventide Ln, Levittown, PA 19054-2720. The current status is inactive.
Licensee Name | JENINE E BOILEAU |
Credential ID | 1281625 |
Credential Number | CSP.0059962 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
36 Eventide Ln Levittown PA 19054-2720 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
Issue Date | 2015-05-27 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-04-23 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1488360 | 1.057755-RES | Resident Physician | 2015-07-01 | 2015-07-01 - 2019-06-30 | INACTIVE |
Street Address | 36 EVENTIDE LN |
City | LEVITTOWN |
State | PA |
Zip Code | 19054-2720 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Katherine Elizabeth Mulcahy | 11 Pensive Lane, Levittown, PA 19054 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Joseph J Panchison | 30 Robinhood Dr, Fallsington, PA 19054 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
Tamara N Toulouse · Newton-toulouse | 15 Wildrose Lane, Levittown, PA 19054 | Hairdresser/cosmetician | 2003-05-14 ~ 2004-07-31 |
Joan M Reed | 18 Morning Glory La, Levittown, PA 19054 | Registered Nurse | 1992-01-23 ~ 1993-01-31 |
Witold Gosek | 9071 Mill Creek Road, Levittown, PA 19054 | Asbestos Abatement Supervisor | 2003-02-18 ~ 2004-03-31 |
Grzegorz Kot | 9071 Mill Creek Road, Apt. 2622, Levittown, PA 19054 | Asbestos Abatement Worker | 2002-06-14 ~ 2003-07-31 |
Artur Wierzchowski | 90701 Mill Creek Road, Apt. 2622, Levittown, PA 19054 | Asbestos Abatement Worker | 2002-06-14 ~ 2003-07-31 |
Andrew Gyetvan Jr | 7 Village Lane, Levittown, PA 19054 | Temporary Certified General Real Estate Appraiser | 2006-06-22 ~ 2006-12-19 |
Stephen G Chatto Jr. | 176 Northturn Lane, Levittown, PA 19054 | Pharmacist | 2006-02-01 ~ 2007-01-31 |
Lisa Ann Johnson | 90 Thornridge Dr, Levittown, PA 19054-2214 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Find all Licenses in zip 19054 |
City | LEVITTOWN |
Zip Code | 19054 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LEVITTOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jenine E John | 97 Poplar St, Nanuet, NY 10954-2008 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Kenneth E Boileau · Boileau Construction & Remodeling | 151 Rockville Rd, Voluntown, CT 06384 | Home Improvement Contractor | 1998-02-23 ~ 1998-11-30 |
Mitchell Boileau · Boileau & Sons Construction | 1012 Ekonk Hill Rd, Voluntown, CT 06384-1005 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
Etienne Boileau Chablis 1er Cru Vaillons | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-06-28 ~ 2020-06-27 |
Etienne Boileau Petit Chablis | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-06-28 ~ 2020-06-27 |
E. Boileau Chablis Premier Cru Mont De Milieau (no | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 1997-03-14 ~ 2000-03-14 |
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
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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).