AUGUSTE H FORTIN VI (Credential# 162036) 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.
AUGUSTE H FORTIN VI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023541. 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 Yale New Haven Hospital, St. Raphael Campus, New Haven, CT 06511. The current status is active.
| Licensee Name | AUGUSTE H FORTIN VI |
| Credential ID | 162036 |
| Credential Number | CSP.0023541 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Yale New Haven Hospital, St. Raphael Campus New Haven CT 06511 |
| 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 | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552310 | 1.034714 | Physician/Surgeon | 1995-07-21 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | YALE NEW HAVEN HOSPITAL, ST. RAPHAEL CAMPUS |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ary-lex Auguste | 200 Nutmeg Ln Apt 235, East Hartford, CT 06118-1227 | Controlled Substance Registration for Practitioner | 2013-03-13 ~ 2015-02-28 |
| Antonie J Auguste | 80 Seymour Street, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael J Fortin | 25 Mohawk St, Middletown, CT 06457-3534 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lynn Fortin Dvm | 177 Day Street, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Auguste Doyon | 64 Sandy Hook Dr, Rocky Hill, CT 06067 | Home Improvement Contractor | ~ 1995-06-01 |
| William R Fortin · Wn Fortin Restoration Inc | 760 Totoket Road, Northford, CT 06472 | Home Improvement Contractor | 1995-10-04 ~ 1996-11-30 |
| Christian Fortin · C.r. Fortin Remodelers | 22 Texas Dr, Oakdale, CT 06370 | Home Improvement Contractor | ~ 1995-09-01 |
| Domaine Triennes St Auguste Red | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-11-17 ~ 2021-11-15 |
| Auguste Bonhomme Rose | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2012-07-06 ~ 2015-07-05 |
| Domaine Comte Senard Auguste Red | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-06-01 ~ 2018-05-31 |
Please comment or provide details below to improve the information on AUGUSTE H FORTIN VI.
| 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).