ALEXIS C BOUTENEFF (Credential# 152180) 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.
ALEXIS C BOUTENEFF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0010780. 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 105 Buell Rd, Litchfield, CT 06759-3006. The current status is active.
| Licensee Name | ALEXIS C BOUTENEFF |
| Credential ID | 152180 |
| Credential Number | CSP.0010780 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
105 Buell Rd Litchfield CT 06759-3006 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 544561 | 1.023370 | Physician/Surgeon | 1982-04-05 | 2019-04-01 - 2020-03-31 | ACTIVE |
| Street Address | 105 BUELL RD |
| City | LITCHFIELD |
| State | CT |
| Zip Code | 06759-3006 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marisa Concilio | 138 South Lake St, Litchfield, CT 06759 | Occupational Therapist Temporary Permit | ~ |
| True Value of Litchfield | 348 Bantam Rd, Litchfield, CT 06759 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Jeanne M Sandrib | 22 Minerva Lane, Litchfield, CT 06759 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Albreada Refuse & Sweeping LLC | 14 Iffland Pond Rd, Litchfield, CT 06759 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Theresa M. Spalletta | 470 Pumping Station Rd., Litchfield, CT 06759 | Distribution System Operator In Training | 2020-04-01 ~ 2023-03-31 |
| Lisa Ann Partrick | 190 West Street, Litchfield, CT 06759 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Debra A Majeske · Cooper | 230 Blue Swamp Road, Litchfield, CT 06759 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Tilden Seafood LLC | 174 West St, Litchfield, CT 06759 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Cassandra Leigh Ganio | 93 Headquarters Road, Litchfield, CT 06759 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Denise Konnik | 344 Milton Rd, Litchfield, CT 06759 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06759 | |||
| City | LITCHFIELD |
| Zip Code | 06759 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LITCHFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexis K Warren | 17 Elm Ct, Windsor, CT 06095-2912 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexis C Chardavoyne | 74 Erdoni Rd, Columbia, CT 06237-1307 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Alexis B. Mincer | 440 S Broad St, Philadelphia, PA 19146-4900 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Alexis M Fraser | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2011-01-31 ~ 2013-02-28 |
| Alexis E Nedurian | 700 High St, Williamsport, PA 17701 | Controlled Substance Registration for Practitioner | 2019-03-11 ~ 2021-02-28 |
| Alexis B Rothenberg | 24 Hospital Ave Apt 203, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-09 ~ 2011-02-28 |
| Alexis L. Volpe | 15 Cindy Ln, Putnam Valley, NY 10579-3235 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexis Star Points | 569 3rd Ave, West Haven, CT 06516-4523 | Controlled Substance Registration for Practitioner | 2020-04-03 ~ 2021-02-28 |
| Alexis M Gaskell Pa | 6 Mountain Side, Tolland, CT 06084 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexis L Beattie | 3214 Berkshire Rd Apt 201, Cleveland Heights, OH 44118-2540 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on ALEXIS C BOUTENEFF.
| 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).