MICHELLE S KODUAH (Credential# 1607611) 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.
MICHELLE S KODUAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069726. 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 104 Highwood Dr, Manchester, CT 06040-5623. The current status is active.
| Licensee Name | MICHELLE S KODUAH |
| Credential ID | 1607611 |
| Credential Number | CSP.0069726 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
104 Highwood Dr Manchester CT 06040-5623 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1215490 | 10.119083 | Registered Nurse | 2014-05-30 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 1603038 | 12.007896 | Advanced Practice Registered Nurse | 2018-10-15 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 104 HIGHWOOD DR |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-5623 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rosemary C Johnson | 164 Highwood Dr, Manchester, CT 06040-5623 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Arthur Bruder · Bg Pro Painters | 152 Highwood Dr, Manchester, CT 06040-5623 | Home Improvement Contractor | 2019-09-12 ~ 2020-11-30 |
| Justin D Chung | 144 Highwood Dr, Manchester, CT 06040-5623 | Emergency Medical Technician | 2009-11-02 ~ 2011-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle L Allyn | 40 Rex Rd, Lisbon, CT 06351-2821 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle A Van Name | 22 Acorn Dr, Bethany, CT 06524-3383 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle L Hershman | 865 Mix Ave Apt L4, New Haven, CT 06514-2143 | Controlled Substance Registration for Practitioner | 2013-07-02 ~ 2015-02-28 |
| Lauren A Hai | 200 Michelle Ln Apt 303, Groton, CT 06340-4235 | Controlled Substance Registration for Practitioner | 2015-02-12 ~ 2017-02-28 |
| Michelle Carino Md | 49 Bertrose Ave, Milford, CT 06460-5905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle Hughes | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-06-11 ~ 2021-02-28 |
| Michelle R Camano | 75 Burnside Ter, Springfield, MA 01118-2121 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Michelle C Savarese | 2 Wihbey Dr, Prospect, CT 06712-1466 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle Fey Aprn | 188 New Boston Rd, Sturbridge, MA 01566 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Michelle A Glasgow | 100 Temple St Apt 205, New Haven, CT 06510-2728 | Controlled Substance Registration for Practitioner | 2010-12-06 ~ 2013-02-28 |
Please comment or provide details below to improve the information on MICHELLE S KODUAH.
| 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).