MARIE-CHRISTINE BOUCHER (Credential# 1188961) is licensed (Dental Anesthesia/conscious Sedation Permit) 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.
MARIE-CHRISTINE BOUCHER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #22.008476. The credential type is dental anesthesia/conscious sedation permit. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 10 Higgins Hwy Ste 10, Mansfield Center, CT 06250-1410. The current status is active.
| Licensee Name | MARIE-CHRISTINE BOUCHER |
| Credential ID | 1188961 |
| Credential Number | 22.008476 |
| Credential Type | Dental Anesthesia/Conscious Sedation Permit |
| Business Address |
10 Higgins Hwy Ste 10 Mansfield Center CT 06250-1410 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-04-17 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 703755 | 2.009303 | Dentist | 2004-05-28 | 2020-05-01 - 2021-04-30 | ACTIVE |
| 373757 | CSP.0035147 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-06-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 741542 | 21.008541 | Dental Conscious Sedation Permit | 2004-08-23 | 2011-09-01 - 2014-08-31 | INACTIVE |
| Street Address | 10 HIGGINS HWY STE 10 |
| City | MANSFIELD CENTER |
| State | CT |
| Zip Code | 06250-1410 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William L Cabrera · Coyote Flaco | 50 Higgins Hwy, Mansfield Center, CT 06250-1410 | Restaurant Liquor | 2019-06-30 ~ 2020-10-29 |
| Megan D Gagnon | 32 Higgins Hwy, Mansfield Center, CT 06250-1410 | Radiographer | 2020-05-01 ~ 2021-04-30 |
| Tad Mckinney · Tad's Home Improvement | 22 Higgins Hwy, Mansfield Center, CT 06250-1410 | Home Improvement Contractor | 2018-12-01 ~ 2019-11-30 |
| William D Dittrich | 26 Higgins Hwy, Mansfield Center, CT 06250-1410 | Emergency Medical Responder | 2015-01-13 ~ 2017-10-01 |
| C Gagnon Construction LLC | 32 Higgins Hwy, Mansfield Center, CT 06250-1410 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carissa A Zlotnick | 31 Jude Lane, Mansfield, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Sara Hollow Heumann | 103 Mansfield Hollow Road, Mansfield Center, CT 06250 | Esthetician | ~ |
| Mary Catherine D'amico | 156 Coventry Rd, Mansfield Center, CT 06250 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petco 3728 | 86 Storrs Rd, Mansfield, CT 06250 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Christine D Njuki | 15 Crest Road, Mansfield Center, CT 06250 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| David L. Simon Md | 2 Ledgebrook Drive, Mansfield Center, CT 06250 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lisa G Orcutt | 5 Pequot Square, Mansfield Center, CT 06250 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurie J Smaglis | 28 Thornbush Rd, Mansfield, CT 06250 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Loni C Cohen | 23c Eastbrook Heights, Mansfield Center, CT 06250 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Joanne Frederick | 69 Circle Drive, Mansfield Center, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06250 | |||
| City | MANSFIELD CENTER |
| Zip Code | 06250 |
| License Type | Dental Anesthesia/Conscious Sedation Permit |
| License Type + County | Dental Anesthesia/Conscious Sedation Permit + MANSFIELD CENTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carlos R Ibanez Md | School of Dental Medicine/omfs-l7073, Farmington, CT 06030 | Dental Anesthesia/conscious Sedation Permit | 2008-05-16 ~ 2009-06-30 |
| Stephen J Bosco | 1 Lake St, New Britain, CT 06052-1396 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| Stuart E Lieblich | 34 Dale Rd, Avon, CT 06001 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Peter W Bauer | 116 Cook Av, Meriden, CT 06450 | Dental Anesthesia/conscious Sedation Permit | 1999-03-23 ~ 2000-04-30 |
| Ira N Slow Dmd | 1825 Barnum Ave, Stratford, CT 06614-5333 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Garrick Alex | 23 Maple Ave, Greenwich, CT 06830-5620 | Dental Anesthesia/conscious Sedation Permit | 2020-05-20 ~ 2021-05-31 |
| Erik M Sayles | 546 S Broad St Ste 2a, Meriden, CT 06450-6601 | Dental Anesthesia/conscious Sedation Permit | 2020-04-01 ~ 2021-03-31 |
| Christopher J Cuomo | 16 Cannon Dr, Newtown, CT 06470-1751 | Dental Anesthesia/conscious Sedation Permit | 2020-08-01 ~ 2021-07-31 |
| Marshall D Kurtz | 129 Park Ave, Danbury, CT 06810-7504 | Dental Anesthesia/conscious Sedation Permit | 2020-08-01 ~ 2021-07-31 |
| Daniel J. Gill | 34 Dale Rd Ste 105, Avon, CT 06001-3659 | Dental Anesthesia/conscious Sedation Permit | 2020-09-01 ~ 2021-08-31 |
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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).