NICOLE L COFFEY
Controlled Substance Registration for Practitioner


Address: 272 Redwood Road, Manchester, CT 06040

NICOLE L COFFEY (Credential# 1251961) 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.

Business Overview

NICOLE L COFFEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058924. 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 272 Redwood Road, Manchester, CT 06040. The current status is active.

Basic Information

Licensee Name NICOLE L COFFEY
Credential ID 1251961
Credential Number CSP.0058924
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 272 Redwood Road
Manchester
CT 06040
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-10-25
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1206915 10.118411 Registered Nurse 2014-05-01 2019-06-01 - 2020-05-31 ACTIVE
1248659 12.005957 Advanced Practice Registered Nurse 2014-10-16 2019-06-01 - 2020-05-31 ACTIVE
1251115 CSP.0058911 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-10-22 2014-10-22 - 2015-02-28 INACTIVE
1209471 10.117177-TEMP Registered Nurse - Temporary 2014-03-01 2014-03-01 - 2014-06-28 INACTIVE

Office Location

Street Address 272 Redwood Road
City Manchester
State CT
Zip Code 06040

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Thomas Jones Jr 272 Redwood Road, Manchester, CT 06040 Massage Therapist 2016-11-01 ~ 2018-10-31

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Erin C Boyle 470 Porter Street, Manchester, CT 06040 Registered Nurse 2020-07-01 ~ 2021-06-30
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Andrea H Clifford 116 Longview Drive, Manchester, CT 06040 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
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Competitor

Search similar business entities

City Manchester
Zip Code 06040
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Manchester

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Terrence J Coffey 100 Temple Street #10, New Haven, CT 06510 Controlled Substance Registration for Practitioner 2007-10-01 ~ 2008-02-29
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Nicole M Loo 100 York St Unit 5-0, New Haven, CT 06511-5620 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Nicole A. Zuber Md 42 Howard Ct, Newark, NJ 07103-3456 Controlled Substance Registration for Practitioner 2013-06-09 ~ 2015-02-28
Nicole C Tino 410 Saybrook Rd Ste 201, Middletown, CT 06457-4777 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Dataset Information

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).

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