TAMIKQUE ESCOURSE
Controlled Substance Registration for Practitioner


Address: 73 Pershing Drive, Derby, CT 06418

TAMIKQUE ESCOURSE (Credential# 1334764) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 14, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

TAMIKQUE ESCOURSE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062151. The credential type is controlled substance registration for practitioner. The effective date is April 14, 2019. The expiration date is February 28, 2021. The business address is 73 Pershing Drive, Derby, CT 06418. The current status is active.

Basic Information

Licensee Name TAMIKQUE ESCOURSE
Credential ID 1334764
Credential Number CSP.0062151
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 73 Pershing Drive
Derby
CT 06418
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-02-24
Effective Date 2019-04-14
Expiration Date 2021-02-28
Refresh Date 2019-04-16

Other licenses

ID Credential Code Credential Type Issue Term Status
1321839 10.131793 Registered Nurse 2016-02-03 2019-11-01 - 2020-10-31 ACTIVE
1328497 12.006470 Advanced Practice Registered Nurse 2016-02-18 2019-11-01 - 2020-10-31 ACTIVE
1321952 10.130828-TEMP Registered Nurse - Temporary 2015-11-20 2015-11-20 - 2016-03-18 INACTIVE

Office Location

Street Address 73 Pershing Drive
City Derby
State CT
Zip Code 06418

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Debra A Montini 8 Academy Hill Ext, Derby, CT 06418 Dental Hygienist 2020-08-01 ~ 2021-07-31
Laura M Boanno 131 Marshall La, Derby, CT 06418 Registered Nurse 2020-07-01 ~ 2021-06-30
Danyun Chen 49 Pershing Dr., Derby, CT 06418 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Fan Geng Shoprite Shopping Center, Derby, CT 06418 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Danni Xu Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Yao Zhang Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Phillip N Burke 3 Camptown St, Derby, CT 06418 Emergency Medical Technician 2017-06-07 ~ 2020-06-30
Diane A Rosner 229 Shagbark Drive, Derby, CT 06418 Professional Counselor 2020-08-01 ~ 2021-07-31
Pamela C Lavelle 194 Minerva St, Derby, CT 06418 Registered Nurse 2020-08-01 ~ 2021-07-31
Grade A Market - Derby LLC 49 Pershing Dr, Derby, CT 06418 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06418

Competitor

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City Derby
Zip Code 06418
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Derby

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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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