JUSTIN GAUTHIER (Credential# 2044272) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license status is PENDING.
JUSTIN GAUTHIER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073977. The credential type is controlled substance registration for practitioner. The business address is 176 Shewville Rd, Mystic, CT 06355-1210. The current status is pending.
| Licensee Name | JUSTIN GAUTHIER |
| Credential ID | 2044272 |
| Credential Number | CSP.0073977 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
176 Shewville Rd Mystic CT 06355-1210 |
| Business Type | INDIVIDUAL |
| Status | PENDING - NEW APPLICATION REVIEW REQUIRED |
| Refresh Date | 2020-05-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2037210 | 1 | Physician/Surgeon | - | PENDING |
| Street Address | 176 SHEWVILLE RD |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355-1210 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen F Gauthier Lnm | 176 Shewville Rd, Mystic, CT 06355-1210 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth-ann Ogulnick | 204 Shewville Rd, Mystic, CT 06355-1210 | Licensed Clinical Social Worker | 2001-02-20 ~ 2002-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06355 | |||
| City | MYSTIC |
| Zip Code | 06355 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MYSTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin M Gauthier | 246 Spring St Apt 17, Naugatuck, CT 06770-2950 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lori A. Gauthier | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen F Gauthier Lnm | 176 Shewville Rd, Mystic, CT 06355-1210 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Julie M Gauthier Pa | 101 Washington Blvd Unit 1102, Stamford, CT 06902-7058 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Justin A Cross Md | Po Box 362, Kedrsavge, NH 03847 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Justin J Cohen | 835 Mix Ave, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2004-09-10 ~ 2006-02-28 |
| Justin C Ngene Md | 106 W Seeboth St, Milwaukee, WI 53204 | Controlled Substance Registration for Practitioner | 2015-03-06 ~ 2017-02-28 |
| Justin R. Bloom | Po Box 806, East Windsor, CT 06088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justin R Valentine | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Justin Raanan | 75 Peterborough St Apt 710, Boston, MA 02215-4315 | Controlled Substance Registration for Practitioner | 2015-06-16 ~ 2017-02-28 |
Please comment or provide details below to improve the information on JUSTIN GAUTHIER.
| 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).