AMY M BOUDREAU (Credential# 247453) 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.
AMY M BOUDREAU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030317. 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 4 Crystal Ln, Wallingford, CT 06492-2164. The current status is active.
| Licensee Name | AMY M BOUDREAU |
| Credential ID | 247453 |
| Credential Number | CSP.0030317 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4 Crystal Ln Wallingford CT 06492-2164 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-12-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 680589 | 12.002411 | Advanced Practice Registered Nurse | 2000-11-14 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 627104 | 10.E58198 | Registered Nurse | 1995-08-04 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 4 CRYSTAL LN |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2164 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emily Boudreau | 51 Leland Rd, Marshfield, MA 02050-5111 | Controlled Substance Registration for Practitioner | 2020-04-17 ~ 2021-02-28 |
| Lauren E Boudreau | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amy Susan Boudreau | 3 David St, Enfield, CT 06082-5033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lucinda T. Boudreau Pa-c | 31 E Cardigan Ct, Skokomish Nation, WA 98584-9613 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Sara Frances Boudreau | 93 Ardmore Road, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-10-15 ~ 2021-02-28 |
| Eugene E Boudreau Jr · Boudreau Builders | 329 Woodland Rd, Guilford, CT 06437 | Home Improvement Contractor | 2002-12-23 ~ 2003-11-30 |
| Boudreau & Associates Inc | 945 Great Plain Ave, Needham, MA 02192 | Home Improvement Contractor | ~ |
| Boudreau's Welding Co Inc | Po Box 339, Dayville, CT 06241 | Crane Registration | 2019-12-01 ~ 2020-11-30 |
| Chad Boudreau · Boudreau Construction | 2 Pin Oak Ct, Westport, CT 06880-1022 | Emergency Medical Technician | 2019-04-01 ~ 2022-03-31 |
| Nicholas Boudreau · Boudreau and Sons Builders | 11 Cove St, New Haven, CT 06512-4305 | Home Improvement Contractor | 2020-06-23 ~ 2020-11-30 |
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| 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).