KAYLAN MARIE THIBODEAU (Credential# 1681176) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 5, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KAYLAN MARIE THIBODEAU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072155. The credential type is controlled substance registration for practitioner. The effective date is August 5, 2019. The expiration date is February 28, 2021. The business address is 11 High Meadow Rd, Feeding Hills, MA 01030-1248. The current status is active.
| Licensee Name | KAYLAN MARIE THIBODEAU |
| Credential ID | 1681176 |
| Credential Number | CSP.0072155 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
11 High Meadow Rd Feeding Hills MA 01030-1248 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-05 |
| Effective Date | 2019-08-05 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-08-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1655908 | 23.004547 | Physician Assistant | 2019-08-01 | 2019-08-01 - 2020-08-31 | ACTIVE |
| Street Address | 11 HIGH MEADOW RD |
| City | FEEDING HILLS |
| State | MA |
| Zip Code | 01030-1248 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Douglas F Averill | 31 High Meadow Rd, Feeding Hills, MA 01030-1248 | Limited Sheet Metal Journeyperson | 2018-09-01 ~ 2019-08-31 |
| Kaitlin B. Casey | 27 High Meadow Rd, Feeding Hills, MA 01030-1248 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Jeremy Casey | 27 High Meadow Rd, Feeding Hills, MA 01030-1248 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janeena J Ieraci | 35 Marlene Dr, Feeding Hills, MA 01030 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jared Hamre | 50 Stony Hill Rd, Feeding Hills, MA 01030 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Jacquelyn Cote | 424 Barry St, Feeding Hills, MA 01030 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Seongsoun Kang | 232 Mapleview Lane, Feeding Hills, MA 01030 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Richard W Gallerani | 656 Springfield St, Feeding Hills, MA 01030 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Lisa Frederick Alvarez | 86 Witheridge St, Feeding Hills, MA 01030 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Allison Amanda Grubbs | 39 High Meadow Road, Feeding Hills, MA 01030 | Speech and Language Pathologist | ~ |
| Catherine M St. Laurent | 106 Columbia Drive, Feeding Hills, MA 01030 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| Patricia E Milardo | 148 Roosevelt Ave., Feeding Hills, MA 01030 | Respiratory Care Practitioner | 2020-06-01 ~ 2021-05-31 |
| Angela S Aussant | 52 Northwood Street, Feeding Hills, MA 01030 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Find all Licenses in zip 01030 | |||
| City | FEEDING HILLS |
| Zip Code | 01030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FEEDING HILLS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaylan Mucci | 130 Division St, Derby, CT 06418-1326 | Controlled Substance Registration for Practitioner | 2019-04-24 ~ 2021-02-28 |
| Kaylan C Mcdowell-smith | 30 Orange Road, Middleotwn, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly M Thibodeau | 109 Browns Bridge Rd, Tolland, CT 06084 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donna Marie Marie Romito | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marie Dam | 86 Deer Run, Burlington, CT 06013-1815 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marie E Didario | 31 Fox Run Ct, Newington, CT 06111-4579 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Joy Marie Richardson | 19 Day St, Norwalk, CT 06854-4912 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marie De Alwis | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Marie Sanford | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-10-22 ~ 2021-02-28 |
| Theresa Marie Ramponi | 928 Elm, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-04-03 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KAYLAN MARIE THIBODEAU.
| 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).