ANNE-LISE BEAUBOEUF (Credential# 1073882) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ANNE-LISE BEAUBOEUF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051278. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 21 Bittersweet Ln, Trumbull, CT 06611. The current status is active.
| Licensee Name | ANNE-LISE BEAUBOEUF |
| Credential ID | 1073882 |
| Credential Number | 1.051278 |
| Credential Type | Physician/Surgeon |
| Business Address |
21 Bittersweet Ln Trumbull CT 06611 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-08-02 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 890193 | CSP.0046201 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-08-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 21 Bittersweet Ln |
| City | Trumbull |
| State | CT |
| Zip Code | 06611 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul Anthony | 21 Bittersweet Ln, Trumbull, CT 06611-2365 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | Trumbull |
| Zip Code | 06611 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Trumbull |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Neil D Parikh | 17 Lise Cir, Suffield, CT 06078-1381 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anne-lise C Smith | 9 Tyrone Rd, Pomfret Center, CT 06259-1520 | Psychologist | 2017-03-01 ~ 2018-02-28 |
| Lise Anne Roberts | 5 Overbrook Lane, Darien, CT 06820 | Architect | 2015-09-12 ~ 2016-07-31 |
| Anne Lise M Bernard · Mocombe | 484 Nw 165 St Rd, N Miami Beach, FL 33169 | Registered Nurse | 1997-09-26 ~ 1998-09-30 |
| Anne-lise Teixeira Fuller | 11 Great Oak Rd, Old Lyme, CT 06371-5101 | Professional Counselor | 2019-06-18 ~ 2020-06-30 |
| Anne-lise Brown | 20 Academy St, Darien, CT 06820 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Lise Anne Ross | 1712 Northampton Street Apt 2r, Holyoke, MA 01040 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Lise L. Debisschop | 66 East Street, Morris, CT 06763 | Certified Public Accountant Firm Permit | 1995-01-06 ~ 1995-12-31 |
| Anne S Davidson | Randolph, NJ 07869-1243 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Anne M Weisensee | 166 4th St E, Saint Paul, MN 55101-1421 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
Please comment or provide details below to improve the information on ANNE-LISE BEAUBOEUF.
| 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).