LUCINDA T. BOUDREAU PA-C (Credential# 953217) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
LUCINDA T. BOUDREAU PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048969. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 31 E Cardigan Ct, Skokomish Nation, WA 98584-9613. The current status is inactive.
Licensee Name | LUCINDA T. BOUDREAU PA-C |
Credential ID | 953217 |
Credential Number | CSP.0048969 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
31 E Cardigan Ct Skokomish Nation WA 98584-9613 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2010-09-16 |
Effective Date | 2011-03-01 |
Expiration Date | 2013-02-28 |
Refresh Date | 2014-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
943473 | 23.002446 | Physician Assistant | 2010-09-01 | 2011-07-01 - 2012-06-30 | INACTIVE |
Street Address | 31 E CARDIGAN CT |
City | SKOKOMISH NATION |
State | WA |
Zip Code | 98584-9613 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Linda M Zaccaro | 2012 Laurel St., Shelton, CT 98584 | Professional Counselor | 2007-06-11 ~ 2008-07-31 |
City | SKOKOMISH NATION |
Zip Code | 98584 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SKOKOMISH NATION |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amy M Boudreau | 4 Crystal Ln, Wallingford, CT 06492-2164 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lucinda Canty Lnm | 70 Capen Street, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Emily Boudreau | 51 Leland Rd, Marshfield, MA 02050-5111 | Controlled Substance Registration for Practitioner | 2020-04-17 ~ 2021-02-28 |
Lauren E Boudreau | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Amy Susan Boudreau | 3 David St, Enfield, CT 06082-5033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lucinda G Fingado Md | 91 Coach Light Drive, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Lucinda M Gilligan | 8 Valley View Drive, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sara Frances Boudreau | 93 Ardmore Road, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-10-15 ~ 2021-02-28 |
Eugene E Boudreau Jr · Boudreau Builders | 329 Woodland Rd, Guilford, CT 06437 | Home Improvement Contractor | 2002-12-23 ~ 2003-11-30 |
Boudreau & Associates Inc | 945 Great Plain Ave, Needham, MA 02192 | Home Improvement Contractor | ~ |
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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).