JILLIAN BOUCHARD (Credential# 1603047) 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.
JILLIAN BOUCHARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069593. 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 5 Sagamore Lane, Rocky Hill, CT 06067. The current status is active.
| Licensee Name | JILLIAN BOUCHARD |
| Credential ID | 1603047 |
| Credential Number | CSP.0069593 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Sagamore Lane Rocky Hill CT 06067 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-09-21 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1592883 | 23.004261 | Physician Assistant | 2018-09-20 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 5 Sagamore Lane |
| City | Rocky Hill |
| State | CT |
| Zip Code | 06067 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew L Merola | 5 Sagamore Lane, Rocky Hill, CT 06067 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John J. Driscoll United Labor Agency | 56 Town Line Road, Rocky Hill, CT 06067 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Rose J Dibacco | 21 Woodland Rd, Rocky Hill, CT 06067 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Emily Noreen Kilroy Wolf | 305 Carlton Lane, Rocky Hill, CT 06067 | Art Therapist | ~ |
| Veronica Andrea Pita | 100 Cold Spring Rd, Rocky Hill, CT 06067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kim Simeone | 21 New Britain Ave, Rocky Hill, CT 06067 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
| Kaci Courtemanche | 1105 Harbor View Drive, Rocky Hill, CT 06067 | Master's Level Social Worker - Temporary Permit | ~ |
| Hailing Colon | 35 Grimes Rd. Apt D104, Rocky Hill, CT 06067 | Nail Technician | ~ |
| Diana C D'angelo | 1-d Carillon Drive, Rocky Hill, CT 06067 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| Carmelo Ferla | 54 Wright Rd, Rocky Hill, CT 06067 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jessica Condon | 7 Robbins Lane, Rocky Hill, CT 06067 | Registered Nurse | ~ |
| Find all Licenses in zip 06067 | |||
| City | Rocky Hill |
| Zip Code | 06067 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Rocky Hill |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna Bouchard | 9 Barry Ln, Simsbury, CT 06070-2001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jillian K Ross | 926 Greenway Rd, Woodbridge, CT 06525-2413 | Controlled Substance Registration for Practitioner | 2020-04-24 ~ 2021-02-28 |
| Jillian Leclair Md | Mc 2941, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jillian M Kalinchak | 159 David Rd, Durham, CT 06422-2601 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jillian N Gormley | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jillian K Joseph | 112 Uncatena Ave, Worcester, MA 01606-1814 | Controlled Substance Registration for Practitioner | 2013-03-25 ~ 2015-02-28 |
| Jillian L Marousek Md | 36 Lake Dr, Darien, CT 06820-3121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jillian R Hevey Pa | 100 Trilby Ave, Chicopee, MA 01020-1037 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jillian M Grant | 15 Corporate Dr, Trumbull, CT 06611-1351 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jillian M Difazio | 225 E 95th St Apt 22b, New York, NY 10128-4007 | Controlled Substance Registration for Practitioner | 2014-12-12 ~ 2017-02-28 |
Please comment or provide details below to improve the information on JILLIAN 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).