GAIL W BETTENCOURT APRN (Credential# 293413) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
GAIL W BETTENCOURT APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031665. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 553 Montauk Ave, New London, CT 06320. The current status is lapsed.
| Licensee Name | GAIL W BETTENCOURT APRN |
| Credential ID | 293413 |
| Credential Number | CSP.0031665 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
553 Montauk Ave New London CT 06320 |
| Business Type | BUSINESS |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2001-12-05 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 605969 | 10.E33866 | Registered Nurse | 1971-12-28 | 2017-11-01 - 2018-10-31 | INACTIVE |
| 678586 | 12.000400 | Advanced Practice Registered Nurse | 1991-06-10 | 2017-11-01 - 2018-10-31 | INACTIVE |
| 159913 | CSP.0019333 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - 1998-02-28 | INACTIVE |
| Street Address | 553 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
| Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
| Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
| Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
| Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06320 | |||
| City | NEW LONDON |
| Zip Code | 06320 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW LONDON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann C Golymbieski Aprn | 10 Gail Dr, Waterbury, CT 06704 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Gail P Lagana Aprn | 136 Little Brook Dr, Newington, CT 06111-5322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lindsay Gail Spring Aprn | 52 Fawn Ln, New Canaan, CT 06840-3301 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Gail A Rogers Aprn | 20 Bridgets Lane, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gail King Aprn | 19 Constance Lane, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gail M Frahm Aprn | 4 Montclair Drive, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ann Burzynski Aprn | Po Box 158, Colchester, VT 05446-0158 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Gail Phillips Lnm | 67 Maple St, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2003-01-24 ~ 2004-02-28 |
| Gail M O'brien | 181 Edwards St, New Haven, CT 06511-3734 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on GAIL W BETTENCOURT APRN.
| 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).