HEIDI M BOULES (Credential# 1493885) 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.
HEIDI M BOULES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067475. 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 4260 Crescent St Apt 7e, Long Island City, NY 11101-4355. The current status is active.
| Licensee Name | HEIDI M BOULES |
| Credential ID | 1493885 |
| Credential Number | CSP.0067475 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4260 Crescent St Apt 7e Long Island City NY 11101-4355 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-02-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1469558 | 1.060003 | Physician/Surgeon | 2018-02-21 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 4260 CRESCENT ST APT 7E |
| City | LONG ISLAND CITY |
| State | NY |
| Zip Code | 11101-4355 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Malka Loeb | 43-22 Queens St, Long Island City, NY 11101 | Dentist | ~ |
| Salman R Punekar | 2840 Jackson Ave, Long Island City, NY 11101 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Anna Loiterstein | 21-10 44th Drive, Long Island City, NY 11101 | Psychologist | ~ |
| Amarantha Zyanya Quintana-morales | 27-28 Thomson Ave, Long Island City, NY 11101 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stuart Narofsky | 37-18 Northern Blvd Suite 317, Long Island City, NY 11101 | Architect | 2020-08-01 ~ 2021-07-31 |
| Rebekah Wright | 43-25 Hunter Street, Long Island City, NY 11101 | Registered Nurse | ~ |
| Tom Cat Bakery Inc | 43-05 10th St, Long Island City, NY 11101 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Laurent-perrier Inc. · Laurent-perrier U S Inc | 3718 Northern Boulevard #413, Long Island City, NY 11101 | Out of State Shipper Liquor | 2020-05-21 ~ 2021-05-20 |
| Carly M Mcloughlin | 41-18 Crescent Street #6h, New York, NY 11101 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jenna Butner | 5-11 47th Avenue, Long Island City, NY 11101 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 11101 | |||
| City | LONG ISLAND CITY |
| Zip Code | 11101 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONG ISLAND CITY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| How Yee Heidi Hon | 2 Park Pl Apt 11h, Hartford, CT 06106-5012 | Controlled Substance Registration for Practitioner | 2013-03-06 ~ 2015-02-28 |
| Heidi Fyrberg Pa | 43 Seaview Ave, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 1997-05-21 ~ 1998-02-28 |
| Heidi M Tucker | 99 Woodland St, Meriden, CT 06451-2027 | Controlled Substance Registration for Practitioner | 2019-07-02 ~ 2021-02-28 |
| Heidi N Riviello | 195 Range Rd, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heidi W Chen Md | 210 Treadwell St #305, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Heidi Andersen | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Heidi Eigenrauch Karpen Md | 24 Genesee Ln, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Heidi B Wildstein Aprn | 135 Hitchcock Ct, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heidi M Smolka | 9 Raymond Rd, East Hampton, CT 06424-1339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heidi Bertha Kenefick | 76 New Britain Ave, Hartford, CT 06106-3305 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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).