REGAN MARQUIS PRUDHOMME (Credential# 479425) 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.
REGAN MARQUIS PRUDHOMME is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042285. 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 194 Buckland Hills Dr Ste 1106, Manchester, CT 06042-8748. The current status is active.
| Licensee Name | REGAN MARQUIS PRUDHOMME |
| Credential ID | 479425 |
| Credential Number | CSP.0042285 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
194 Buckland Hills Dr Ste 1106 Manchester CT 06042-8748 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-09-18 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 763349 | 3.002721 | Optometrist | 2007-07-19 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 194 BUCKLAND HILLS DR STE 1106 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-8748 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeremy E Prudhomme | 12 Nottingham Blvd, Unionville, CT 06085-1185 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sammy D Eghbalieh | 192 Regan Rd, Middlebury, CT 06762-2524 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jorge Hernandez Md | 201 Regan Rd, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 1996-05-28 ~ 1997-02-28 |
| Simon O'regan | 21 South St, Ridgefield, CT 06877-4102 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Nicole A Marquis Dmd | 51 Boston Post Rd Suite 10, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
| Linda Regan Aprn | 51 Delahunty Dr, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 1996-06-19 ~ 1997-02-28 |
| Marcel Eldon Hinds | 30 Regan Way, Germantown, NY 12526 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas Regan | 120 Westmont St, West Hartford, CT 06117-2930 | 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).