NICOLE M BABARAN (Credential# 1363648) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
NICOLE M BABARAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063381. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 12160 Crystal Ridge Way, Porter Ranch, CA 91326-3800. The current status is lapsed.
| Licensee Name | NICOLE M BABARAN |
| Credential ID | 1363648 |
| Credential Number | CSP.0063381 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
12160 Crystal Ridge Way Porter Ranch CA 91326-3800 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2016-06-30 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1361806 | 23.003578 | Physician Assistant | 2016-06-28 | 2017-06-01 - 2018-05-31 | INACTIVE |
| Street Address | 12160 CRYSTAL RIDGE WAY |
| City | PORTER RANCH |
| State | CA |
| Zip Code | 91326-3800 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amc Fund 16, LLC | 11260 Wilbur Avenue, Porter Ranch, CA 91326 | Securities - Exemptions | 2020-01-09 ~ |
| Marci R Berlin | 19153 Ludlow Street, Northridge, CA 91326 | Licensed Clinical Social Worker | 2006-12-26 ~ 2007-12-31 |
| Mary-alice Bronkema | 10435 Lindley Avenue, Northridge, CA 91326 | Occupational Therapist | ~ 1997-07-31 |
| Argubright Construction | 18140 Index Street, Northridge, CA 91326 | Major Contractor | 2002-10-07 ~ 2003-06-30 |
| Jacklyn E Chong | 18824 Killoch Way, Porter Ranch, CA 91326-1136 | Pharmacist | 2017-11-15 ~ 2020-01-31 |
| Martha Ramirez | 19201 Salt Lake Pl, Northridge, CA 91326-2344 | Physical Therapist Assistant | 2010-12-01 ~ 2011-11-30 |
| Michael Robert Littner | 10736 Des Moines Ave, Northridge, CA 91326-2930 | Physician/surgeon | 1974-08-16 ~ 1980-12-31 |
| James E May | 10331 Zelzah Ave, #21, Northridge, CA 91326-3559 | Physician/surgeon | 2001-04-30 ~ 2002-06-30 |
| Emily Lee | 19526 Eagle Ridge Ln, Northridge, CA 91326-3872 | Controlled Substance Registration for Practitioner | 2020-05-04 ~ 2021-02-28 |
| City | PORTER RANCH |
| Zip Code | 91326 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PORTER RANCH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole P Roy | 140 Ziegler Rd, Hampton, CT 06247-2022 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole Miller | 24 Davenport Ave, Milford, CT 06460-7825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole A Kennedy | 739 Carrington Rd, Bethany, CT 06524-3183 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole Y Belair | 28 Walas Rd, Moosup, CT 06354-1206 | Controlled Substance Registration for Practitioner | 2019-09-09 ~ 2021-02-28 |
| Nicole B Fernandez | 25 Peterborough St Apt 14, Boston, MA 02215-4410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole M Maletta | 13 Hemlock Ct, Durham, CT 06422-1405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole Duchesneau | 58 Hnath Rd, Ashford, CT 06278-2324 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nicole M Loo | 100 York St Unit 5-0, New Haven, CT 06511-5620 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| C Nicole Gorman | 323 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole S Kraese | 5 Delta Ave, Danbury, CT 06810-7501 | Controlled Substance Registration for Practitioner | 2019-08-19 ~ 2021-02-28 |
Please comment or provide details below to improve the information on NICOLE M BABARAN.
| 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).