NICOLE J RUBIN (Credential# 1352585) 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.
NICOLE J RUBIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062677. 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 263 Farmington Ave, Farmington, CT 06030-2947. The current status is active.
| Licensee Name | NICOLE J RUBIN |
| Credential ID | 1352585 |
| Credential Number | CSP.0062677 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
263 Farmington Ave Farmington CT 06030-2947 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-06-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488800 | 1.058195-RES | Resident Physician | 2016-07-01 | 2016-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 263 FARMINGTON AVE |
| City | Farmington |
| State | CT |
| Zip Code | 06030-2947 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Matthew D Goranson | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2026-06-30 |
| Jacob Silver | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Nicholas Bellas | 263 Farmington Ave, Farmington, CT 06032-1956 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Jennifer Hale | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Cory R Hewitt | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Sango Huwaa Mosia Asante | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Ryan Desrochers | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Kelsey D Greenhalgh | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Derek J Tow | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ramzi Alkass Md | 263 Farmington Ave Mc2947, Farmington, CT 06030-2947 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heidi K Leftwich | 263 Farmington Ave Mc-2947, Farmington, CT 06030-2947 | Controlled Substance Registration for Practitioner | 2011-04-05 ~ 2013-02-28 |
| Timothy V Johnson | 263 Farmington Ave Mc 2947, Farmington, CT 06030-2947 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Kristina R Ericsson | 270 Farmington Ave Mc 2947, Farmington, CT 06030-2947 | Controlled Substance Registration for Practitioner | 2006-11-30 ~ 2007-02-28 |
| James Egan Md | Uconn Health Center, Farmington, CT 06030-2947 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Caitlin O Saint-aubin | 263 Farmington Ave Mc-2947, Farmington, CT 06030-2947 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Dana L Shanis | 263 Farmington Ave Mc-2947, Farmington, CT 06030-2947 | Controlled Substance Registration for Practitioner | 2009-04-03 ~ 2011-02-28 |
| Jeanine F Carbone | 263 Farmington Ave Mc2947, Farmington, CT 06030-2947 | Controlled Substance Registration for Practitioner | 2007-08-01 ~ 2008-02-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | Farmington |
| Zip Code | 06030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George H Rubin Md | 31 Highfield Rd, Norfolk, CT 06058-1370 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard L Rubin Md | 25 Water St, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alec M Rubin Md | 5130 Redbriar Ct, Sarasota, FL 34238 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| L Robert Rubin Md | 16 Ohehyahtah Place, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Satoko O. Rubin | 928 Farmngton Ave #5, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2019-04-01 ~ 2021-02-28 |
| Cheryl Rubin Md | 554 Boston Post Rd Ste 313, Orange, CT 06477-3341 | Controlled Substance Registration for Practitioner | 2009-03-05 ~ 2011-02-28 |
| Eva Rubin | 1319 Anglewood Dr, Vestavia Hills, AL 35216-2403 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Aaron Rubin | 116 Irvington Rd, Rochester, NY 14620-4114 | Controlled Substance Registration for Practitioner | ~ |
| Allison N Rubin | 56-45 Main Street, Queens, NY 11355 | Controlled Substance Registration for Practitioner | 2019-03-12 ~ 2021-02-28 |
| Marissa Cordaro Rubin | 116 Irvington Rd, Rochester, NY 14620-4114 | Controlled Substance Registration for Practitioner | 2020-04-20 ~ 2021-02-28 |
Please comment or provide details below to improve the information on NICOLE J RUBIN.
| 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).