NICOLE EDDY ORTIZ (Credential# 1230530) 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.
NICOLE EDDY ORTIZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057571. 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 326 Washington St, Norwich, CT 06360-2740. The current status is active.
| Licensee Name | NICOLE EDDY ORTIZ |
| Credential ID | 1230530 |
| Credential Number | CSP.0057571 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
326 Washington St Norwich CT 06360-2740 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-06-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1214650 | 12.005728 | Advanced Practice Registered Nurse | 2014-05-07 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 592918 | 10.088916 | Registered Nurse | 2009-06-16 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 326 WASHINGTON ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2740 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Generations Family Health Center Inc. · Generations Family Health Center, Inc. | 326 Washington St, Norwich, CT 06360-2740 | Outpatient Clinic | 2017-07-01 ~ 2021-06-30 |
| Gina Friedt | 326 Washington St, Norwich, CT 06360-2740 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Theresa M Adams | 326 Washington St, Norwich, CT 06360-2740 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elizabeth C Hathaway | 326 Washington St, Norwich, CT 06360 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Kyle B Mcclaine | 326 Washington St, Norwich, CT 06360-5634 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| James R Engel | 326 Washington St, Norwich, CT 06360-2740 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michelle A Mead | 326 Washington St, Norwich, CT 06360-2740 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lindsey C Roncaioli | 326 Washington St, Norwich, CT 06360 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Andrew Michael Jersey | 326 Washington St, Norwich, CT 06360-2740 | Controlled Substance Registration for Practitioner | 2019-03-05 ~ 2021-02-28 |
| Michael Tansey | 326 Washington St, Norwich, CT 06360-2740 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ankit Gupta | 330 Washington St, Norwich, CT 06360-2740 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helar E Campos | 9 Abel Crossing, Norwich, CT 06360 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yanbo Dong | 624 West Main St Ste1, Norwich, CT 06360 | Esthetician | ~ |
| Jing An Jin | 624 West Main St Suite 160, Norwich, CT 06360 | Nail Technician | ~ |
| Deborah Moya | 9 3rd St, Norwich, CT 06360 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Argyro Donuts LLC | 60 Town Street, Norwich, CT 06360 | Bakery | 2019-08-12 ~ 2020-06-30 |
| Paige Elizabeth Signorella | 532 Boswell Avenue, Norwich, CT 06360 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-09-30 |
| Bethany Catherine Chinigo | 19m 495 Laurel Hill Rd, Norwich, CT 06360 | Hairdresser/cosmetician | ~ |
| American Friends of Kenya Inc. | 150 Yantic Street, #142, Norwich, CT 06360 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Caylee Elizabeth Liebig | 10 Bozrah Drive, Norwich, CT 06360 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brendan Williams | 18 Stonington Rd, Norwich, CT 06360 | Electrical Unlimited Journeyperson | 2020-06-22 ~ 2020-09-30 |
| Find all Licenses in zip 06360 | |||
| City | NORWICH |
| Zip Code | 06360 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Eddy Md | 124 Timrod Rd, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Karen A Rosene-montella | 593 Eddy St, Providence, RI 02903-4923 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Adrienne S Eddy Pa | 743d West Main St, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Eddy A Castillo Md | 2660 Main St Suite 203, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristin B Hubbard | 396 Eddy Glover Blvd, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Brian C Eddy Md | 1224 Farmington Avenue, West Hartford, CT 06107-1537 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martin Ortiz | 644 W Putnam Ave, Greenwich, CT 06830-6088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fernando L Ortiz | 37 Fieldstone Rd, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 1994-04-06 ~ 1995-12-01 |
| Alejandro Ortiz-burgos Md | 100 Jefferson Sq #7a, Waterbury, CT 06702 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Edgardo Ortiz Nieves | 288 West Ave, Stamford, CT 06902-6355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on NICOLE EDDY ORTIZ.
| 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).