COREY MICHELLE TEAGARDEN (Credential# 1667368) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 10, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
COREY MICHELLE TEAGARDEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071480. The credential type is controlled substance registration for practitioner. The effective date is June 10, 2019. The expiration date is February 28, 2021. The business address is 85 Deer Run, Avon, CT 06001-3193. The current status is active.
| Licensee Name | COREY MICHELLE TEAGARDEN |
| Credential ID | 1667368 |
| Credential Number | CSP.0071480 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
85 Deer Run Avon CT 06001-3193 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-10 |
| Effective Date | 2019-06-10 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-06-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1629052 | 1.063617-DO | Physician/Surgeon | 2019-06-07 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 85 DEER RUN |
| City | AVON |
| State | CT |
| Zip Code | 06001-3193 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew W Quinn | 85 Deer Run, Avon, CT 06001 | Emergency Medical Technician | 2006-06-20 ~ 2008-07-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Corey Baker | 282 Washington St., Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-04-08 ~ 2021-02-28 |
| Corey W. Gittleman | 297 Warpas Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Corey Lee Jokl | 110 N. Wood Ct., Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason Corey Dukes | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| J.corey Williams | 300 George Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Corey D Berlin Md | 297f Brittany Farms Road, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 1995-12-19 ~ 1997-02-28 |
| Corey Robert O'brien | 129 York Street Crown Court, Apt 4b, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph M Corey Md | 8 Southport Woods Dr, Southport, CT 06890 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| 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 |
Please comment or provide details below to improve the information on COREY MICHELLE TEAGARDEN.
| 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).