ERIN H GILLEN (Credential# 1620927) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 19, 2018. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ERIN H GILLEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070000. The credential type is controlled substance registration for practitioner. The effective date is December 19, 2018. The expiration date is February 28, 2021. The business address is 187 Hicks Hill Rd, Stanfordville, NY 12581-6212. The current status is active.
| Licensee Name | ERIN H GILLEN |
| Credential ID | 1620927 |
| Credential Number | CSP.0070000 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
187 Hicks Hill Rd Stanfordville NY 12581-6212 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-19 |
| Effective Date | 2018-12-19 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1507811 | 10.152717 | Registered Nurse | 2018-08-01 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 1507801 | 12.007726 | Advanced Practice Registered Nurse | 2018-08-01 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 1508353 | 10.149865-TEMP | Registered Nurse - Temporary | 2018-04-23 | 2018-04-23 - 2018-08-01 | INACTIVE |
| Street Address | 187 HICKS HILL RD |
| City | STANFORDVILLE |
| State | NY |
| Zip Code | 12581-6212 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary S Connella | 10 West Hunns Lake Road, Stanfordville, NY 12581 | Massage Therapist | 2020-05-01 ~ 2022-04-30 |
| Maureen Willig | 116 Tic Toc Way, Stanfordville, NY 12581 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Irish Anastasia Conklin | 6129 Route 82, Stanfordville, NY 12581 | Notary Public Appointment | 2020-02-29 ~ 2025-02-28 |
| Christina M Stevens | 500 Hicks Hill Rd, Stanfordville, NY 12581 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Jamesetta H Evans | P.o. Box 85, Stanfordville, NY 12581 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Alan W Goettel | 52 Hicks Hill Road, Stanfordville, NY 12581 | Water Treatment Plant Operator - Class Iv | 2016-06-20 ~ 2018-12-31 |
| John Williamson · All Done Construction | 145 Hunns Lake Rd, Stanfordville, NY 12581 | Home Improvement Contractor | 2015-04-02 ~ 2015-11-30 |
| Brian E Couse | 105 W Hunns Lake Rd, Stanfordville, NY 12581 | Pharmacy Technician | 2004-06-01 ~ 2005-03-31 |
| Hammermill Builders Inc | 6030 Rte 82, Stanfordville, NY 12581 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
| Richard D Vogt · Classic Carpentry | 20 Church Lane, Stanfordville, NY 12581 | Home Improvement Contractor | 2013-08-13 ~ 2013-11-30 |
| Find all Licenses in zip 12581 | |||
| City | STANFORDVILLE |
| Zip Code | 12581 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STANFORDVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Little | 129 Woodland St, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Erin M Lapayover | 44 Pleasant St Apt 19, Stamford, CT 06901-2173 | Controlled Substance Registration for Practitioner | 2019-10-01 ~ 2021-02-28 |
| Erin Malone | 144 Gannet Dr, Southington, CT 06489-1715 | Controlled Substance Registration for Practitioner | ~ |
| Erin Kelly Walsh | 20 W End, Old Greenwich, CT 06870 | Controlled Substance Registration for Practitioner | 2020-06-25 ~ 2021-02-28 |
| Erin Hespeler | 5 Meadowood Ln, Old Saybrook, CT 06475-1806 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin E Faherty | 500 West Ave Apt 319, Norwalk, CT 06850-4062 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Flynn | 376 Ridge Rd, Orange, CT 06477-2825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin M Pastor | 16 Chestnut St, Narragansett, RI 02882-3904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin M. Debiasi | 41 Kaiser Ln, Madison, CT 06443-2499 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ERIN H GILLEN.
| 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).