HEATHER HUMPHREY (Credential# 1389731) 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.
HEATHER HUMPHREY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064360. 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 84 Portland St, Oakville, CT 06779-1032. The current status is active.
Licensee Name | HEATHER HUMPHREY |
Credential ID | 1389731 |
Credential Number | CSP.0064360 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
84 Portland St Oakville CT 06779-1032 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-11-18 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2018-12-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1068552 | 10.106517 | Registered Nurse | 2012-07-05 | 2019-12-01 - 2020-11-30 | ACTIVE |
1388492 | 12.006837 | Advanced Practice Registered Nurse | 2016-11-16 | 2019-12-01 - 2020-11-30 | ACTIVE |
1016099 | DCFA.04770 | Family Child Care Assistant | 2009-07-27 - | INACTIVE | |
1068550 | 1 | Physician/Surgeon | - | PENDING |
Street Address | 84 PORTLAND ST |
City | OAKVILLE |
State | CT |
Zip Code | 06779-1032 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Donald E Mencio | 74 Portland St, Oakville, CT 06779-1032 | Sealed Ticket Operator | 2003-03-07 ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carrie A Gibbs | 40 Williams Ave., Oakville, CT 06779 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
Donna C Stango | 125 Plainfield Dr, Oakville, CT 06779 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
Phyllis M Capece | 337 Colonial St, Oakville, CT 06779 | Barber | 2020-08-01 ~ 2022-07-31 |
Gayle M Nelson | 180 Ball Farm Road, Oakville, CT 06779 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Kim Ann Barnes | 166 Ice House Road, Oakville, CT 06779 | Esthetician | 2020-06-19 ~ 2021-07-31 |
Deborah A Norton | 186 Eaton St, Oakville, CT 06779 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Kenecticut Hardware | 3 Harvard St, Oakville, CT 06779 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Danielle Hillman | 225 Colonial St., Oakville, CT 06779 | Medication Administration Certification | 2020-07-19 ~ 2022-07-18 |
Buckingham Street | 646 Buckingham Street, Oakville, CT 06779 | Community Living Arrangement | 2018-09-01 ~ 2020-08-31 |
Carla A Martinelli | 27 Hubbell Avenue, Oakville, CT 06779 | Real Estate Salesperson | ~ |
Find all Licenses in zip 06779 |
City | OAKVILLE |
Zip Code | 06779 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OAKVILLE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bryce D Campbell | 314 Humphrey St, New Haven, CT 06511-3935 | Controlled Substance Registration for Practitioner | 2015-08-20 ~ 2017-02-28 |
Vishal C Mehra Md | 319 Humphrey St#2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Matthew E Oetgen | 450 Humphrey St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Elizabeth C Gardner | 446 Humphrey St, New Haven, CT 06511-3710 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Karl Langberg | 358 Humphrey St Apt 2, New Haven, CT 06511-3938 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rebecca A Theise | 295 Humphrey St Fl 2, New Haven, CT 06511-3934 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Catherine J Loerke | 295 Humphrey St#2r, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Kate E Humphrey | 273 Niles Rd, New Hartford, CT 06057-4231 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Steven Deweese Md | 462 Humphrey Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
Melissa A Davis | 291 Humphrey Street, New Haven, CT 06511 | 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).