COLLEEN C HICKEY (Credential# 1299329) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
COLLEEN C HICKEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060978. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 63 Cross Rd, Middlebury, CT 06762-3017. The current status is lapsed.
| Licensee Name | COLLEEN C HICKEY |
| Credential ID | 1299329 |
| Credential Number | CSP.0060978 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
63 Cross Rd Middlebury CT 06762-3017 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2015-07-13 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1296475 | 23.003381 | Physician Assistant | 2015-07-13 | 2017-09-01 - 2018-08-31 | INACTIVE |
| 850644 | 70.010911 | Emergency Medical Technician | 2009-06-23 | 2009-06-23 - 2014-04-01 | INACTIVE |
| Street Address | 63 CROSS RD |
| City | MIDDLEBURY |
| State | CT |
| Zip Code | 06762-3017 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christine A Wells | 121 Cross Rd, Middlebury, CT 06762-3017 | Emergency Medical Technician | 2014-02-03 ~ 2016-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia E Rosa · Lambo | 76 East Farm Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathy Ann Calo · Bellino | 116 Carriage Drive, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Laurie V Massetti | 60 Yale Avenue, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timex Corp | Park Rd Ext, Middlebury, CT 06762 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Margaret E Mowrey | 57 Marney Drive, Middlebury, CT 06762 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Giuseppe Tripodi | 687 Straits Tpk, Middlebury, CT 06762 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Elise L Callahan | 77 Christian Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle King | 91 Kissewaug Rd, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michael F Simms IIi | 80 Burr Hall Road, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kelly M Barbaris | 62 Yale Avenue, Middlebury, CT 06762 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06762 | |||
| City | MIDDLEBURY |
| Zip Code | 06762 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLEBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert E Hickey | 134 Grandview Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Thomas Hickey | 950 Campbell Ave, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Perrin C Hickey | 12a Reggie Way, Broad Brook, CT 06016 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| John K Hickey Pa | 1 White Deer Lane, Seymour, CT 06483 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Colleen E Driscoll | 182 Woods End Rd, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Colleen O Planchon | 9 Country Ln, Pawcatuck, CT 06379-1258 | Controlled Substance Registration for Practitioner | 2020-04-29 ~ 2021-02-28 |
| Colleen A Sherkow | 85 Barnes Rd Ste 301, Wallingford, CT 06492-1832 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Colleen Gebhard Pa | 20 Goldfinch Ter, E Lyme, CT 06333 | Controlled Substance Registration for Practitioner | 2006-03-21 ~ 2007-02-28 |
| Colleen M Cattaneo | 31 Jolicoeur Ave, Spencer, MA 01562 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Colleen Mccue | 115 Plant St, New London, CT 06320-4423 | Controlled Substance Registration for Practitioner | 2020-03-23 ~ 2021-02-28 |
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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).