KRISTY C POULLIOT (Credential# 1456280) 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 INACTIVE.
KRISTY C POULLIOT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066970. 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 2 Fay Mountain Rd, Grafton, MA 01519-1420. The current status is inactive.
| Licensee Name | KRISTY C POULLIOT |
| Credential ID | 1456280 |
| Credential Number | CSP.0066970 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2 Fay Mountain Rd Grafton MA 01519-1420 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2017-10-17 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1454787 | 10.145796 | Registered Nurse | 2017-10-17 | 2018-07-01 - 2019-06-30 | INACTIVE |
| 1451896 | 12.007330 | Advanced Practice Registered Nurse | 2017-10-17 | 2018-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 2 FAY MOUNTAIN RD |
| City | GRAFTON |
| State | MA |
| Zip Code | 01519-1420 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine M Weiner | 95 Magill Dr, Grafton, MA 01519 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Susan M Zujewski · Grodski | 7 Patricia Drive, Grafton, MA 01519 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Catherine Ann Fitzpatrick | 46 Nottingham Rd, Grafton, MA 01519 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Christopher R Lemay | 41 Keith Hill Road, Grafton, MA 01519 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Juliano Barbosa | 39 Magill Drive, Grafton, MA 01519 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Bryan Bakis | 19 Stratton Rd, Grafton, MA 01519 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| Eve Marie Lopriore | 2 Westview Street, Grafton, MA 01519 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Mary C Sevon | 15 Millbury Street, Grafton, MA 01519 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Joshua G Swerling | 48 North Street, Grafton, MA 01519 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| John L Pilczak | 39 Providence Rd, Grafton, MA 01519 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 01519 | |||
| City | GRAFTON |
| Zip Code | 01519 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GRAFTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristy M Zerfass | 5 East Ct, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristy Mascarenhas Md | 38 Fairview Dr, Farmington, CT 06032-2541 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristy M. Labib | 200 Squaw Ln, Guilford, CT 06437-2210 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John Kristy | 181 Kings Hwy E, Fairfield, CT 06825-4844 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristy E Bowen | 427 Guy Park Ave, Amsterdam, NY 12010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristy L Gretzula Dds | 475 Hawley Lane, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristy T Thurston | 140 Westledge Road, West Simsbury, CT 06092 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Please comment or provide details below to improve the information on KRISTY C POULLIOT.
| 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).