MEGHAN E SPRAGUE (Credential# 1326028) 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.
MEGHAN E SPRAGUE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061883. 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 2107 Broadleaf Blvd, Manchester, CT 06042-7324. The current status is active.
| Licensee Name | MEGHAN E SPRAGUE |
| Credential ID | 1326028 |
| Credential Number | CSP.0061883 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2107 Broadleaf Blvd Manchester CT 06042-7324 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-12-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1322405 | 23.003494 | Physician Assistant | 2015-12-21 | 2019-01-01 - 2019-12-31 | INACTIVE |
| 1001672 | 70.013753 | Emergency Medical Technician | 2011-06-14 | 2011-06-14 - 2014-04-01 | INACTIVE |
| Street Address | 2107 BROADLEAF BLVD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-7324 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jada Michelle Garlow | 2101 Broadleaf Blvd, Manchester, CT 06042-7324 | Registered Nurse - Temporary | 2020-06-16 ~ 2020-10-14 |
| Deanna M Monfredo | 2105 Broadleaf Blvd, Manchester, CT 06042-7324 | Youth Camp Director | 2019-05-28 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen E Sprague | 88 Wildwood Rd, Meriden, CT 06450-7136 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Katherine L Sprague | 50 Republic Dr Apt 252, Bloomfield, CT 06002-5451 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Laura A Sprague | 121 Pratt St, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roxanne R Sprague Pa-c | 71 Brewster Rd, West Springfield, MA 01089-2111 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Meghan C Oster | 324 Elm St, Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meghan E Prevost | 533 Essex Rd, Westbrook, CT 06498-1506 | Controlled Substance Registration for Practitioner | 2018-12-12 ~ 2021-02-28 |
| Meghan Graham | 106 Captains Way, Philadelphia, PA 19146 | Controlled Substance Registration for Practitioner | 2020-04-29 ~ 2021-02-28 |
| Meghan M Ryan | 21 Cooper Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meghan H Henry | 81 Michigan Ave, Providence, RI 02905-5317 | Controlled Substance Registration for Practitioner | 2019-02-27 ~ 2021-02-28 |
| Meghan Tornatore | 45 Saupe Dr, Manalapan, NJ 07726-1856 | 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).