NICOLE E MARDEN (Credential# 1392182) 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 E MARDEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064431. 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 188 Tobacco St, Lebanon, CT 06249-1624. The current status is active.
| Licensee Name | NICOLE E MARDEN |
| Credential ID | 1392182 |
| Credential Number | CSP.0064431 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
188 Tobacco St Lebanon CT 06249-1624 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-12-06 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1387186 | 12.006845 | Advanced Practice Registered Nurse | 2016-11-18 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 1361773 | 10.136919 | Registered Nurse | 2016-09-01 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 1363476 | 10.134557-TEMP | Registered Nurse - Temporary | 2016-06-28 | 2016-06-28 - 2016-10-25 | INACTIVE |
| Street Address | 188 TOBACCO ST |
| City | LEBANON |
| State | CT |
| Zip Code | 06249-1624 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diana Bazzano | 106 Bascom Road, Lebanon, CT 06249 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Alan Peed | 353 Randall Rd, Lebanon, CT 06249 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| David Hooper | 100 Barker Rd, Lebanon, CT 06249 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Matthew L Smith Aprn | 336 Babcock Hill Rd, Lebanon, CT 06249 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Anna M Bender · Warzecha | 58 Barker Rd, Lebanon, CT 06249 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Leslie H Cote | 236 Mack Road, Lebanon, CT 06249 | Notary Public Appointment | 2016-06-01 ~ 2021-05-31 |
| Alyna J Stober | 40 Meadow Ridge Dr., Lebanon, CT 06249 | Emergency Medical Technician | ~ |
| Susan L Lambert | 648 Tobacco St, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John J Buda | 46 Ryan Terrace, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Amy Margaret Yankanich | 67 Reservoir Rd, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06249 | |||
| City | LEBANON |
| Zip Code | 06249 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LEBANON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole P Roy | 140 Ziegler Rd, Hampton, CT 06247-2022 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole Patricio | 48 Willard St, New Bedford, MA 02744-1515 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Nicole M Wagschal | 150 Balazs Rd, Willington, CT 06279-2401 | Controlled Substance Registration for Practitioner | 2013-10-01 ~ 2015-02-28 |
| Nicole Joyce | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nicole S Mccormack | 135 New Britain Ave Apt 24, Plainville, CT 06062 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Nicole A. Zuber Md | 42 Howard Ct, Newark, NJ 07103-3456 | Controlled Substance Registration for Practitioner | 2013-06-09 ~ 2015-02-28 |
| Nicole E Brown | 382 Northwood Dr, Guilford, CT 06437-1156 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Hannah Nicole Zwibelman | 30 Fox St, Fairfield, CT 06824-6708 | Controlled Substance Registration for Practitioner | 2019-09-13 ~ 2021-02-28 |
| Wilhelmina P Garrison Md | 130 Nicole Dr, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Nicole Chaves | 85 Emerson Ave, Pittsfield, MA 01201-7339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on NICOLE E MARDEN.
| 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).