NICOLE A FOUBISTER M.D. (Credential# 381313) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.
NICOLE A FOUBISTER M.D. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036329. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 12 West 72nd St Apt 2e, New York, NY 10023. The current status is inactive.
| Licensee Name | NICOLE A FOUBISTER M.D. |
| Credential ID | 381313 |
| Credential Number | CSP.0036329 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
12 West 72nd St Apt 2e New York NY 10023 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-10-14 |
| Effective Date | 2007-03-01 |
| Expiration Date | 2008-02-29 |
| Refresh Date | 2009-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560251 | 1.042669 | Physician/Surgeon | 2004-07-20 | 2006-02-08 - 2007-03-31 | INACTIVE |
| Street Address | 12 WEST 72ND ST APT 2E |
| City | NEW YORK |
| State | NY |
| Zip Code | 10023 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leonard R Woods | 290 West End Ave 15b, New York, NY 10023 | Architect | 2020-08-01 ~ 2021-07-31 |
| Susan T Rodriguez | 320 West End Ave Apt #15-a, New York, NY 10023 | Architect | 2020-08-01 ~ 2021-07-31 |
| Barbara S Goldberg · Straite | 175 W 76th St, New York, NY 10023 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kenneth H Drucker | 235 West 76th St#9-d, New York, NY 10023 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jeffrey H Berman | 240 West 75th St #5-b, New York, NY 10023 | Architect | 2020-08-01 ~ 2021-07-31 |
| James Mccullar | 268 West 73rd St Apt 2b, New York, NY 10023 | Architect | 2018-08-01 ~ 2019-07-31 |
| Juan C Estupinan Beltran Md | 20 West 64th Street, New York, NY 10023 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lauren A Gabriele | 145 W 67th St, New York, NY 10023 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Joanna Guarino | 201 West 72nd Street, #10e, New York, NY 10023 | Speech and Language Pathologist | 2020-02-01 ~ 2021-01-31 |
| Nancy Peterson | 240 West End Avenue, New York, NY 10023 | Psychologist | ~ |
| Find all Licenses in zip 10023 | |||
| City | NEW YORK |
| Zip Code | 10023 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole P Roy | 140 Ziegler Rd, Hampton, CT 06247-2022 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole M Lavette | 29 Little Brook Dr, Newington, CT 06111-5302 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole A Kennedy | 739 Carrington Rd, Bethany, CT 06524-3183 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole B Fernandez | 25 Peterborough St Apt 14, Boston, MA 02215-4410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole M Maletta | 13 Hemlock Ct, Durham, CT 06422-1405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole Y Belair | 28 Walas Rd, Moosup, CT 06354-1206 | Controlled Substance Registration for Practitioner | 2019-09-09 ~ 2021-02-28 |
| Nicole Duchesneau | 58 Hnath Rd, Ashford, CT 06278-2324 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nicole M Loo | 100 York St Unit 5-0, New Haven, CT 06511-5620 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nicole S Kraese | 5 Delta Ave, Danbury, CT 06810-7501 | Controlled Substance Registration for Practitioner | 2019-08-19 ~ 2021-02-28 |
| C Nicole Gorman | 323 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).