LOUIS S DOMINGUEZ (Credential# 1219580) 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.
LOUIS S DOMINGUEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057081. 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 54 Bessom St Apt 1, Lynn, MA 01902-1205. The current status is inactive.
| Licensee Name | LOUIS S DOMINGUEZ |
| Credential ID | 1219580 |
| Credential Number | CSP.0057081 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
54 Bessom St Apt 1 Lynn MA 01902-1205 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2014-05-13 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1214682 | 23.003093 | Physician Assistant | 2014-05-12 | 2016-02-01 - 2017-01-31 | INACTIVE |
| Street Address | 54 BESSOM ST APT 1 |
| City | LYNN |
| State | MA |
| Zip Code | 01902-1205 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna M Nelson | 67 Lexington Street, Lynn, MA 01902 | Radiographer | 2018-09-01 ~ 2019-08-31 |
| Metro West Pharmacy | 214 Union Ave, Framingham, MA 01902 | Nonresident Pharmacy | 2019-08-28 ~ 2020-08-31 |
| Albert Masone | 3 Broad St, Lynn, MA 01902 | Architect | 2019-08-01 ~ 2020-07-31 |
| Martin D White | 300 Lynn Shore Drive, Lynn, MA 01902 | Registered Nurse | 2013-01-01 ~ 2013-12-31 |
| Savuth N Keo | 139 Chestnut Street, Apt. 1, Lynn, MA 01902 | Asbestos Abatement Supervisor | 2011-01-20 ~ 2011-04-30 |
| Michael S Sagala | 17 Beach Road, Apt. 27, Lynn, MA 01902 | Registered Nurse | 2010-02-01 ~ 2011-01-31 |
| Joeliza E Brito | 67 Tudor Street, Lynn, MA 01902 | Hairdresser/cosmetician | 2007-12-24 ~ 2009-12-31 |
| John J Green | 201 Ocean St., Lynn, MA 01902 | Asbestos Abatement Worker | 2008-01-14 ~ 2008-05-31 |
| Nancy B Garber | 21 Wolcott Rd, Lynn, MA 01902 | Registered Nurse | 1993-02-25 ~ 1994-02-28 |
| Regina M Duchene | 24 Logan Street, Lynn, MA 01902 | Registered Nurse | 2001-09-04 ~ 2002-01-31 |
| Find all Licenses in zip 01902 | |||
| City | LYNN |
| Zip Code | 01902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LYNN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah Ann Dominguez | 146 Wildwood Rd, Tolland, CT 06084-2164 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer Dominguez | 81 Cottage Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Dora P Dominguez | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Troy Edward Dominguez | 360 State Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas Joseph Dominguez | 749 Farmington Ave Apt 3w, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yulanka Castro Dominguez | 20 York Street, Tompkins 226, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mina Louis Habib Boutrous | 8814 Oak Creek Dr, Saint Louis, MO 63126-2130 | Controlled Substance Registration for Practitioner | 2019-11-19 ~ 2021-02-28 |
| Louis R Neumann Od | Po Box 527, Portland, CT 06480-0527 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ira Louis Salom | Po Box 147, Torrington, CT 06790-0147 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Louis B Goldblatt | 100 Fanning Ave, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
Please comment or provide details below to improve the information on LOUIS S DOMINGUEZ.
| 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).