TYLOR R VAILLANCOURT
Controlled Substance Registration for Practitioner


Address: 13 Nicole Terrace, Feeding Hills, MA 01030

TYLOR R VAILLANCOURT (Credential# 1296801) 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 INACTIVE.

Business Overview

TYLOR R VAILLANCOURT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060799. 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 13 Nicole Terrace, Feeding Hills, MA 01030. The current status is inactive.

Basic Information

Licensee Name TYLOR R VAILLANCOURT
Credential ID 1296801
Credential Number CSP.0060799
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 13 Nicole Terrace
Feeding Hills
MA 01030
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2015-06-29
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1276001 12.006107 Advanced Practice Registered Nurse 2015-04-17 2018-11-01 - 2019-10-31 INACTIVE
1276000 10.125829 Registered Nurse 2015-04-09 2018-11-01 - 2019-10-31 INACTIVE

Office Location

Street Address 13 NICOLE TERRACE
City FEEDING HILLS
State MA
Zip Code 01030

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Janeena J Ieraci 35 Marlene Dr, Feeding Hills, MA 01030 Registered Nurse 2020-08-01 ~ 2021-07-31
Jared Hamre 50 Stony Hill Rd, Feeding Hills, MA 01030 Real Estate Salesperson 2020-06-24 ~ 2021-05-31
Jacquelyn Cote 424 Barry St, Feeding Hills, MA 01030 Registered Nurse 2020-08-01 ~ 2021-07-31
Seongsoun Kang 232 Mapleview Lane, Feeding Hills, MA 01030 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Richard W Gallerani 656 Springfield St, Feeding Hills, MA 01030 Optometrist 2020-07-01 ~ 2021-06-30
Lisa Frederick Alvarez 86 Witheridge St, Feeding Hills, MA 01030 Registered Nurse 2020-08-01 ~ 2021-07-31
Allison Amanda Grubbs 39 High Meadow Road, Feeding Hills, MA 01030 Speech and Language Pathologist ~
Catherine M St. Laurent 106 Columbia Drive, Feeding Hills, MA 01030 Audiologist 2020-07-01 ~ 2021-06-30
Patricia E Milardo 148 Roosevelt Ave., Feeding Hills, MA 01030 Respiratory Care Practitioner 2020-06-01 ~ 2021-05-31
Angela S Aussant 52 Northwood Street, Feeding Hills, MA 01030 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Find all Licenses in zip 01030

Competitor

Search similar business entities

City FEEDING HILLS
Zip Code 01030
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FEEDING HILLS

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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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