TRACI J MARQUIS-EYDMAN (Credential# 259921) 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.
TRACI J MARQUIS-EYDMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030543. 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 5 Pequot Park Road, Westbrook, CT 06498. The current status is active.
| Licensee Name | TRACI J MARQUIS-EYDMAN |
| Credential ID | 259921 |
| Credential Number | CSP.0030543 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Pequot Park Road Westbrook CT 06498 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-02-14 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 556778 | 1.039190 | Physician/Surgeon | 2000-12-19 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 5 Pequot Park Road |
| City | Westbrook |
| State | CT |
| Zip Code | 06498 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zadie Kenkare Md | 5 Pequot Park Road, Westbrook, CT 06498 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jill M Banatoski | 5 Pequot Park Road, Westbrook, CT 06498 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly Nelson Md | 5 Pequot Park Road, Westbrook, CT 06498 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia A Rose | 69 Post Avenue, Westbrook, CT 06498 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Harry's Marine | 38 Hammock Road South, Westbrook, CT 06498 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kathleen Joann Mckay | 5 Timberlane Dr, Westbrook, CT 06498 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pennywise Oil Company Inc | 35 Westbrook Industrial Park Rd, Westbrook, CT 06498 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly F Harlow | 228 Hammock Road, Westbrook, CT 06498 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Wilcox Fuel Inc | 1179 Boston Post Rd, Westbrook, CT 06498 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Thomas L Elliott | 274 Chittemden Hill Rd, Westbrook, CT 06498 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jessica L Fernandes | 21 Pepperidge Ave, Westbrook, CT 06498 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jeanne Ross | 2 Lake Louise Drive, Westbrook, CT 06498 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Carol L Casserino | 331 Seaside Avenue, Westbrook, CT 06498 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06498 | |||
| City | Westbrook |
| Zip Code | 06498 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Westbrook |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Traci Voss Pa | Po Box 11, Hettinger, ND 58639-0011 | Controlled Substance Registration for Practitioner | 2011-08-15 ~ 2013-02-28 |
| Traci Thoureen Md | 78 Cove Street, New Haven, CT 06512 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Traci Green Aprn | 50 Overbrook Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Traci R Ferris | Wcmg - Anesthesiology, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Traci A Friedman Md | 141 Willard Avenue, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tammy A Marquis Aprn | 24 Revere Road, Washington, CT 06793 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maynard L Marquis Jr | 919 Chestnut Hill Rd, South Glastonbury, CT 06073-2608 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole A Marquis Dmd | 51 Boston Post Rd Suite 10, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Trevor Rishawn Marquis York | 1971 Western Ave # 101, Albany, NY 12203-5066 | Controlled Substance Registration for Practitioner | 2019-10-23 ~ 2021-02-28 |
| Regan Marquis Prudhomme | 194 Buckland Hills Dr Ste 1106, Manchester, CT 06042-8748 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on TRACI J MARQUIS-EYDMAN.
| 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).