WILLIE BENTON BOONE (Credential# 2053253) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license status is PENDING.
WILLIE BENTON BOONE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074429. The credential type is controlled substance registration for practitioner. The business address is 561 Winding Brook Farm Road, Watertown, CT 06795. The current status is pending.
| Licensee Name | WILLIE BENTON BOONE |
| Credential ID | 2053253 |
| Credential Number | CSP.0074429 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
561 Winding Brook Farm Road Watertown CT 06795 |
| Business Type | INDIVIDUAL |
| Status | PENDING - NEW APPLICATION REVIEW REQUIRED |
| Refresh Date | 2020-06-08 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Willie Benton Boone | 561 Winding Brook Farm Rd, Watertown, CT 06795-1747 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Street Address | 561 WINDING BROOK FARM ROAD |
| City | WATERTOWN |
| State | CT |
| Zip Code | 06795 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alyssa Michele Chouinard | 561 Winding Brook Farm Road, Watertown, CT 06795 | Behavior Analyst | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Taylor Mia Lundy | 265 Kimberly Ln, Watertown, CT 06795 | Registered Nurse | 2020-06-27 ~ 2020-11-30 |
| Judith A Hill | 23 Malvern Hill Road, Watertown, CT 06795 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carol Mancini Dumond | 57 Bryant, Watertown, CT 06795 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
| Michelle J Stankus | 119 Edge Road, Watertown, CT 06795 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Linda Z Terenzo · Grella | 215 Claxton Ave., Watertown, CT 06795 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Egbrid T30 Pr 9358 | 856 Echo Lake Rd, Watertown, CT 06795 | Medical Marijuana Producer Brand Registration | 2020-06-26 ~ |
| Ana L Guaman | 1278 Main Street Ste 4, Watertown, CT 06795 | Nail Technician | ~ |
| Eric A Tymula | 727 Park Rd, Watertown, CT 06795 | Tattoo Technician | 2020-03-01 ~ 2022-02-28 |
| Margaret A Chilson | 259 Litchfield Road, Watertown, CT 06795 | Massage Therapist | 2020-05-01 ~ 2022-04-30 |
| Laura L Rock | 187 Georgetown Drive, Watertown, CT 06795 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Find all Licenses in zip 06795 | |||
| City | WATERTOWN |
| Zip Code | 06795 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole L Boone | 29 Trompke Ave, Granby, MA 01033-9758 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter S Boone Md | The Orthopaedic & Sports Medicine, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory T Benton Md | 22-62 47th St 3rd Flr, Astoria, NY 11105 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Patrick J Benton | 58 Knollwood Ln, Darien, CT 06820-2813 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Willie J. Levesque | 57 Windermere Ridge Dr, Southington, CT 06489-1360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Todd A Bellem | 129 Willie Circle, Tolland, CT 06084 | Controlled Substance Registration for Practitioner | 1994-06-15 ~ 1996-07-01 |
| Benton M O'neal Jr | 322 Knapps Highway, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Arnold J Benton Md | 67 Fanton Hill Rd, Weston, CT 06883 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher B Benton | 1 Concorde Way Apt B4, Windsor Locks, CT 06096 | Controlled Substance Registration for Practitioner | 2010-03-22 ~ 2011-02-28 |
| Brian T Benton, Md Md | 198 Ross Hill Road, Lisbon, CT 06351 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on WILLIE BENTON BOONE.
| 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).