VICKY DEUBOUE (Credential# 1531096) 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.
VICKY DEUBOUE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069098. 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 157 High Valley Dr, Canton, CT 06019-4525. The current status is inactive.
| Licensee Name | VICKY DEUBOUE |
| Credential ID | 1531096 |
| Credential Number | CSP.0069098 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
157 High Valley Dr Canton CT 06019-4525 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2018-07-18 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 945124 | 10.098653 | Registered Nurse | 2011-03-10 | 2018-06-05 - 2019-06-30 | INACTIVE |
| 1490127 | 12.007594 | Advanced Practice Registered Nurse | 2018-06-03 | 2018-06-03 - 2019-06-30 | INACTIVE |
| 1464083 | 10.146944-TEMP | Registered Nurse - Temporary | 2017-12-04 | 2017-12-04 - 2018-04-02 | INACTIVE |
| 945127 | 10.095174-TEMP | Registered Nurse - Temporary | 2010-07-21 | 2010-07-21 - 2010-11-18 | INACTIVE |
| Street Address | 157 HIGH VALLEY DR |
| City | CANTON |
| State | CT |
| Zip Code | 06019-4525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Landry P Deuboue | 157 High Valley Dr, Canton, CT 06019-4525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher A Tanner | 185 High Valley Dr, Canton, CT 06019-4525 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Savannah Specialty Products LLC | 177 High Valley Dr, Canton, CT 06019-4525 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| David Bondanza | 109 High Valley Dr, Canton, CT 06019-4525 | Emergency Medical Technician | 2020-01-01 ~ 2022-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lenore Quintal-bean | 26 North St, Collinsville, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Aubrey J Hoyt | 82 Lovely Street, Canton, CT 06019 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Julie Reed | 41 Wickhams Fancy, Collinsville, CT 06019 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Sylvia Dibiasi | 93 Cherry Brook Road, Canton, CT 06019 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Nora Baumgart | 60 Cherry Brook Rd, Canton, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Donald Tarinelli | 4 Center St, Collinsville, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06019 | |||
| City | CANTON |
| Zip Code | 06019 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CANTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Landry P Deuboue | 157 High Valley Dr, Canton, CT 06019-4525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vicky Ichun Liu | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7621 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vicky Amon-perpetua | 400 Capital Blvd., Rocky Hill, CT 06067 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vicky's Variety Inc | 24 Belltown Rd, Stamford, CT 06906 | Non Legend Drug Permit | 2002-10-24 ~ 2002-12-31 |
| 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 |
| Vicky's Corner Restaurant · Mish Inc | 1320 Boston Post Rd, Madison, CT 06443 | Bakery | 2001-07-01 ~ 2002-06-30 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on VICKY DEUBOUE.
| 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).