GREGORY M OUELLET (Credential# 1076401) 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.
GREGORY M OUELLET is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052607. 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 27 Beech Tree Rdg, Killingworth, CT 06419-2425. The current status is active.
| Licensee Name | GREGORY M OUELLET |
| Credential ID | 1076401 |
| Credential Number | CSP.0052607 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
27 Beech Tree Rdg Killingworth CT 06419-2425 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-07-11 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1283857 | 1.054320 | Physician/Surgeon | 2015-06-26 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1490885 | 1.058987-RES | Resident Physician | 2015-07-01 | 2015-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 27 BEECH TREE RDG |
| City | KILLINGWORTH |
| State | CT |
| Zip Code | 06419-2425 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Ouellet | 27 Beech Tree Rdg, Killingworth, CT 06419-2425 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fallon N Callahan | 63 Beech Tree Rdg, Killingworth, CT 06419-2425 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Karen Z Shea | 71 Beech Tree Rdg, Killingworth, CT 06419-2425 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Ian Shea | 71 Beech Tree Rdg, Killingworth, CT 06419-2425 | Asbestos Abatement Supervisor | 2019-07-01 ~ 2020-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
| Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06419 | |||
| City | KILLINGWORTH |
| Zip Code | 06419 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KILLINGWORTH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Ouellet | 27 Beech Tree Rdg, Killingworth, CT 06419-2425 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory T. Lee | 8 Spruce St Apt 33f, New York, NY 10038-5224 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Gregory J Lyddy Dds | 55 Elm St, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Gregory H Kresel Md | 318 Norfolk Rd, Litchfield, CT 06759 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Gregory S Bloom Md | 112 Quarry Rd Ste 400, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory R Criscuolo | 63 Gianna Dr, Manchester, CT 06042-1972 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory M Singer | 65 Mahogany Run, Pittsford, NY 14534-9424 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Carly W Gregory | 8 Sasqua Rd, Norwalk, CT 06855-2826 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory R Czarnecki Do | 41 Baldwin Ln, Glastonbury, CT 06033-3845 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory H Pelton Md | 617 West End Ave Ste 1b, New York, NY 10024 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
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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).