SARA BOUBERHAN (Credential# 1076034) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
SARA BOUBERHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052569. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 51 Crown St Apt 307, New Haven, CT 06510-3334. The current status is inactive.
| Licensee Name | SARA BOUBERHAN |
| Credential ID | 1076034 |
| Credential Number | CSP.0052569 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
51 Crown St Apt 307 New Haven CT 06510-3334 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-07-02 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1264009 | 1.053908 | Physician/Surgeon | 2015-03-11 | 2015-11-01 - 2016-10-31 | INACTIVE |
| Street Address | 51 CROWN ST APT 307 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3334 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Raymond | 51 Crown St Apt 302, New Haven, CT 06510-3334 | Emergency Medical Responder | 2010-10-20 ~ 2013-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sara C Paredes | 835 Mix Ave Apt 306, Hamden, CT 06514-2149 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sara J Oak | 44 Orange St #604, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2004-09-29 ~ 2005-02-28 |
| Sara M Miceli | 355 Oak Dr, Watertown, CT 06795-3141 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sara W Coles Pa-c | 33 Old Mill Rd, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sara K Alavi | 31 Marian St, Stamford, CT 06907-2413 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sara L Skrabl | 10 Kneen St, Shelton, CT 06484-3327 | Controlled Substance Registration for Practitioner | 2019-07-25 ~ 2021-02-28 |
| Sara M Strauss | 805 Mountain Ave Apt A, Springfield, NJ 07081-3441 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sara H Soshnick | 504 Dawson Ln, Jericho, NY 11753-2556 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sara Perkins | 2 Church St S, New Haven, CT 06519-1712 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sara J Ruddy | 78 Maplewood Rd, Southington, CT 06489-2429 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SARA BOUBERHAN.
| 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).