COLLEEN THIBAULT (Credential# 1682687) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 14, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
COLLEEN THIBAULT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072221. The credential type is controlled substance registration for practitioner. The effective date is August 14, 2019. The expiration date is February 28, 2021. The business address is 1360 Algerie Rd, East Otis, MA 01029-4515. The current status is active.
| Licensee Name | COLLEEN THIBAULT |
| Credential ID | 1682687 |
| Credential Number | CSP.0072221 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1360 Algerie Rd East Otis MA 01029-4515 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-14 |
| Effective Date | 2019-08-14 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1639813 | 12.008393 | Advanced Practice Registered Nurse | 2019-08-14 | 2020-03-01 - 2021-02-28 | ACTIVE |
| 1671612 | 10.163641 | Registered Nurse | 2019-08-14 | 2020-03-01 - 2021-02-28 | ACTIVE |
| 1675714 | 10.162345-TEMP | Registered Nurse - Temporary | 2019-07-15 | 2019-07-15 - 2019-11-12 | INACTIVE |
| Street Address | 1360 ALGERIE RD |
| City | EAST OTIS |
| State | MA |
| Zip Code | 01029-4515 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy A Therriault | 464 Pine Road, East Otis, MA 01029 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Rosemary A Schneider | 15 Drive A, East Otis, MA 01029 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Donna M Argiro | P.o. Box 84, East Otis, MA 01029 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Ronald M Force | 243 Brookman Drive, East Otis, MA 01029 | Notary Public Appointment | 1998-12-01 ~ 2003-11-30 |
| Valerie K Dulude | 317 Pine Rd, East Otis, MA 01029 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Kathleen R Coburn | Ridge Avenue, East Otis, MA 01029 | Nursing Home Administrator | 2018-09-01 ~ 2020-08-31 |
| Bryan J Ciavola | 80 Lincoln Road, East Otis, MA 01029 | Automotive Glass Unlimited Journeyperson | 2015-09-01 ~ 2016-08-31 |
| Pamela S Schettini | Box 118, East Otis, MA 01029 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Donald M Horrigan | P.o. Box 1296, E. Otis, MA 01029 | Water Treatment Plant Operator - Class I | 2009-12-11 ~ 2012-09-30 |
| Helaine A Kuhn | Gibbs Road, East Otis, MA 01029 | Hairdresser/cosmetician | 1998-11-10 ~ 1999-12-31 |
| Find all Licenses in zip 01029 | |||
| City | EAST OTIS |
| Zip Code | 01029 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST OTIS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Colleen D Jocson | 24 Hospital Ave Apt 103, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-03-18 ~ 2013-02-28 |
| Colleen Gebhard Pa | 20 Goldfinch Ter, E Lyme, CT 06333 | Controlled Substance Registration for Practitioner | 2006-03-21 ~ 2007-02-28 |
| Colleen O Planchon | 9 Country Ln, Pawcatuck, CT 06379-1258 | Controlled Substance Registration for Practitioner | 2020-04-29 ~ 2021-02-28 |
| Colleen C Hickey | 63 Cross Rd, Middlebury, CT 06762-3017 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Colleen Mccue | 115 Plant St, New London, CT 06320-4423 | Controlled Substance Registration for Practitioner | 2020-03-23 ~ 2021-02-28 |
| Leilani L Nixon | 30 Colleen St., Danielson, CT 06239 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Colleen Mcdougall | 34 Highmeadow Ln, Orange, CT 06477-2550 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Colleen L Catera Dmd | 185 Boyden St, Waterbury, CT 06704-1505 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Colleen A Sherkow | 85 Barnes Rd Ste 301, Wallingford, CT 06492-1832 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Colleen M Cattaneo | 31 Jolicoeur Ave, Spencer, MA 01562 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on COLLEEN THIBAULT.
| 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).