ADAM R BOUCHER (Credential# 1453721) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ADAM R BOUCHER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.007352. The credential type is advanced practice registered nurse. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 23 Huntingtown Rd, Newtown, CT 06470. The current status is active.
| Licensee Name | ADAM R BOUCHER |
| Credential ID | 1453721 |
| Credential Number | 12.007352 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
23 Huntingtown Rd Newtown CT 06470 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-10-30 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1325483 | 10.131660 | Registered Nurse | 2016-01-28 | 2020-07-01 - 2021-06-30 | ACTIVE |
| 1458676 | CSP.0067035 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-10-31 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 911103 | 70.011757 | Emergency Medical Technician | 2010-01-28 | 2010-01-28 - 2011-06-30 | INACTIVE |
| Street Address | 23 Huntingtown Rd |
| City | Newtown |
| State | CT |
| Zip Code | 06470 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Callie R Boucher | 23 Huntingtown Rd, Newtown, CT 06470-2626 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| James A Ryan | 23 Huntingtown Rd, Newtown, CT 06470 | Professional Engineer | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth J Tardie | 13 Lazybrook Rd, Newtown, CT 06470 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Peter Nagy | 21 Scudder Rd, Newtown, CT 06470 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Cheryl R Schwartz · Nisenbaum | 8 Old Gate Lane, Newtown, CT 06470 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Isabel Da Rocha | 143 Hanover Road, Newtown, CT 06470 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Courtney M Parker | 153 Boggs Hill Rd, Newtown, CT 06470 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ryan S Doss | 12 Hundred Acres Rd, Newtown, CT 06470 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael B Manes | 21 Aunt Park Ln, Newtown, CT 06470 | Architect | 2020-08-01 ~ 2021-07-31 |
| Real Food Share, Inc. · Real Food Share, Inc. Real Food Share | 11 Orchard Hill Rd, Newtown, CT 06470 | Public Charity | 2020-06-25 ~ 2021-11-30 |
| My Place Pizzeria | 8 Queen St, Newtown, CT 06470 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kiera Elizabeth Elkow | 3 Fox Run Lane, Newtown, CT 06470 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06470 | |||
| City | Newtown |
| Zip Code | 06470 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + Newtown |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam Thomas Gilman | 64 Arlington St, Manchester, NH 03104-4310 | Advanced Practice Registered Nurse | 2020-04-28 ~ 2021-04-30 |
| Alison L Luckey-percy | 63 Adam Hill, Windsor, CT 06095 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Anita L Boucher-concilio · Boucher Capurso | 10 Edge Hill Circle, Monroe, CT 06468 | Registered Nurse | 2000-06-16 ~ 2001-07-31 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Luz E Valentin | 16 Wakeley Rd, Newington, CT 06111-3159 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Robert S Simkins | 466 N Salina St Apt 7, Syracuse, NY 13203-1837 | Advanced Practice Registered Nurse | ~ |
| Kelsey N.m. Adams | 105 E St Ste 2b, Davis, CA 95616-4567 | Advanced Practice Registered Nurse | 2013-07-01 ~ 2014-06-30 |
| Sue A Smolski | 39 Farmington Ave, Plainville, CT 06062 | Advanced Practice Registered Nurse | 2016-07-01 ~ 2017-06-30 |
| Amy Jacobson | 14 Brimfield Way, Westfield, MA 01085-4383 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Cheryl Conwell | 523 E 72nd St, New York, NY 10021-4099 | Advanced Practice Registered Nurse | ~ |
Please comment or provide details below to improve the information on ADAM R BOUCHER.
| 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).