DONNA BOUCHARD (Credential# 1402221) 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.
DONNA BOUCHARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064765. 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 9 Barry Ln, Simsbury, CT 06070-2001. The current status is active.
| Licensee Name | DONNA BOUCHARD |
| Credential ID | 1402221 |
| Credential Number | CSP.0064765 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
9 Barry Ln Simsbury CT 06070-2001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1133538 | 12.005236 | Advanced Practice Registered Nurse | 2012-12-05 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 613386 | 10.E43272 | Registered Nurse | 1980-09-15 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1137207 | CSP.0054064 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-12-17 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 417929 | RES.0779724 | REAL ESTATE SALESPERSON | 2005-10-26 | 2009-07-01 - 2010-05-31 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna Bouchard | 19 Luty Drive, Southington, CT 06489 | Family Child Care Home | ~ |
| Street Address | 9 BARRY LN |
| City | SIMSBURY |
| State | CT |
| Zip Code | 06070-2001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | SIMSBURY |
| Zip Code | 06070 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SIMSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martha A Bouchard Md | 42 Coulter Avenue, Pawling, NY 12564 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jillian Bouchard | 5 Sagamore Lane, Rocky Hill, CT 06067 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alana Michelle Bouchard | 267 Cottage Grove Rd, Bloomfield, CT 06002-3145 | Controlled Substance Registration for Practitioner | 2020-06-19 ~ 2021-02-28 |
| Glen Bouchard Do · Rockville General Hospital | 15 Brookford Dr, Somers, CT 06071 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donna T Bouchard | 21 Blueberry Lane, Shelton, CT 06484 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Donna A Whyte | 680 Mix Ave Apt 6a, Hamden, CT 06514-2338 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Donna D Nunno | 9 Elm St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donna Cobelli Dvm | 77 Danbury Rd, Ridgefield, CT 06877 | Controlled Substance Registration for Practitioner | 1994-08-04 ~ 1996-08-01 |
| Loan T Phan | 12 Donna Rd, Worcester, MA 01609-1145 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer Spreer | 2 Donna Dr, Poughkeepsie, NY 12603-5612 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DONNA BOUCHARD.
| 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).