HEATHER M HURLBURT MD (Credential# 424665) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 10, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.
HEATHER M HURLBURT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038656. The credential type is controlled substance registration for practitioner. The effective date is October 10, 2006. The expiration date is February 28, 2007. The business address is 4 Marissa Circle, Worcester, MA 01604. The current status is inactive.
| Licensee Name | HEATHER M HURLBURT MD |
| Credential ID | 424665 |
| Credential Number | CSP.0038656 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4 Marissa Circle Worcester MA 01604 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-10-10 |
| Effective Date | 2006-10-10 |
| Expiration Date | 2007-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 562254 | 1.044672 | Physician/Surgeon | 2006-08-09 | 2006-08-09 - 2007-01-31 | INACTIVE |
| Street Address | 4 MARISSA CIRCLE |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Marie Baroni | 69 Dustin Street, Worcester, MA 01604 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Karen Fontanares Mancera | 282 Hamilton Street, Worcester, MA 01604 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Justin T Jarboe | 8 Seward St, Worcester, MA 01604 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Liza Detenber | 7 E. Lake St., Worcester, MA 01604 | Licensed Clinical Social Worker | ~ |
| James Franklin Scola | 433 Sunderland Road, Ap. K, Worcester, MA 01604 | Notary Public Appointment | 2020-03-13 ~ 2025-03-31 |
| Dennis J Mercure | 44 Ernest Ave, Worcester, MA 01604 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Johnathan A Simpson | 113 Warner Ave, Worcester, MA 01604 | Professional Counselor | 2020-04-01 ~ 2021-03-31 |
| Allan Kasozi Musoke | 59 Heywood St, Worcester, MA 01604 | Registered Nurse | 2019-01-14 ~ 2019-10-31 |
| Worcester Pharmacy LLC · Boulevard Pharmeceutical Compounding | 149 Shrewsbury St, Worcester, MA 01604 | Nonresident Pharmacy | 2020-01-21 ~ 2020-08-31 |
| Rachel E Swedo | 62 Alvarado Ave, Worcester, MA 01604 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 01604 | |||
| City | WORCESTER |
| Zip Code | 01604 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather A Alfonso | 195 Joy Rd, Middlebury, CT 06762-2521 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Heather S Dobbin Pa | 198 Edwards St Apt 6, New Haven, CT 06511-3702 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Heather L Yeo | 3 Webb Road, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Heather Kurtis | 315 E 65th St Apt 10h, New York, NY 10065-6851 | Controlled Substance Registration for Practitioner | 2018-07-06 ~ 2019-02-28 |
| Heather Wightman | 34 Monadnock Ave, Winchendon, MA 01475-1219 | Controlled Substance Registration for Practitioner | 2012-01-17 ~ 2013-02-28 |
| Heather Tirpaeck | 109 Cooley Dr, Longmeadow, MA 01106-1305 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heather Humphrey | 84 Portland St, Oakville, CT 06779-1032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heather Ann Osborn | 35 Park St Fl 4, New Haven, CT 06519-1110 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heather W Myrick | 55 Pebble Dr, Southington, CT 06489-1751 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heather R Orosco Pa | 64 Kaye-vue Dr, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
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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).