SERGE P POULIN (Credential# 154459) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
SERGE P POULIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014141. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 3 Granite Ct, Colchester, CT 06415-2160. The current status is lapsed.
| Licensee Name | SERGE P POULIN |
| Credential ID | 154459 |
| Credential Number | CSP.0014141 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3 Granite Ct Colchester CT 06415-2160 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546378 | 1.027117 | Physician/Surgeon | 1986-03-27 | 2018-02-01 - 2019-01-31 | INACTIVE |
| Street Address | 3 GRANITE CT |
| City | COLCHESTER |
| State | CT |
| Zip Code | 06415-2160 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia A Donovan | 7 Granite Ct, Colchester, CT 06415-2160 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Carl A Mikolowsky | 43 Granite Ct, Colchester, CT 06415-2160 | Dentist | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Shattuck | 66 South Road, Colchester, CT 06415 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Linda Smith · Lamb | 25 Loomis Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Vincent Vespa Jr | 671 Norwich Ave, Colchester, CT 06415 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Deborah L Strong · Bowen | 98 Lebanon Avenue, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Lucy A Boisse | 115 Stanavage Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Alicia R Bohnenkamper | 906 Canterbury Lane, Colchester, CT 06415 | Notary Public Appointment | 2011-09-28 ~ 2016-09-30 |
| Anna M Sofia | 75 B Elmwood Heights, Colcheshter, CT 06415 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J J Noels Supermarket | 15 Broadway, Colchester, CT 06415 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Linda S Kvasnik | 69 Colburn Dr, Colchester, CT 06415 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| James W Bansemer · General Builders & Remodelers | 87 O'connell Road, Colchester, CT 06415 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Find all Licenses in zip 06415 | |||
| City | COLCHESTER |
| Zip Code | 06415 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COLCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sandy J Poulin Pa | Uconn Health Center, Farmington, CT 06032-1956 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Serge Ginzberg | 263 Farmington Ave Mc3955, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2009-03-26 ~ 2011-02-28 |
| Serge Poulin | 100 Strawberry Hill Rd, Bristol, CT 06010-2593 | Plumbing & Piping Unlimited Journeyperson | 2016-11-01 ~ 2017-10-31 |
| Serge R Battaglia · Serge's Floors | 80 Old Town Park Road, New Milford, CT 06776 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Serge Import LLC · Serge Import | 3256 Durham Pl, Southampton, PA 18966-2934 | Out of State Shipper Liquor | 2015-11-25 ~ 2016-11-24 |
| Serge Dore Selections Ltd | 59 South Greeley Avenue Suite 1, Chappaqua, NY 10514 | Out of State Shipper Liquor | 2009-08-24 ~ 2010-08-23 |
| Serge R Grenier · Serge Grenier Roofing & Rstrtn | 5 Taber Rd, Sherman, CT 06784-1222 | Home Improvement Contractor | 2019-03-14 ~ 2019-11-30 |
| Gerald Poulin | 350 Prospect St, Suffield, CT 06078 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Serge Laloue Sancerre | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-03-28 ~ 2022-03-26 |
| Serge Roh Pinot Noir | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-04-10 ~ 2018-04-08 |
Please comment or provide details below to improve the information on SERGE P POULIN.
| 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).