RACHAEL HYNDS-DECOTEAU (Credential# 1691110) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 19, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
RACHAEL HYNDS-DECOTEAU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072410. The credential type is controlled substance registration for practitioner. The effective date is September 19, 2019. The expiration date is February 28, 2021. The business address is 22 Candice Cir, Springfield, MA 01107. The current status is active.
Licensee Name | RACHAEL HYNDS-DECOTEAU |
Credential ID | 1691110 |
Credential Number | CSP.0072410 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
22 Candice Cir Springfield MA 01107 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-09-19 |
Effective Date | 2019-09-19 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-09-25 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
742629 | 23.000880 | Physician Assistant | 1999-09-17 | 2019-09-19 - 2020-06-30 | ACTIVE |
221472 | CSP.0028878 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-13 - 2003-02-28 | INACTIVE |
Street Address | 22 CANDICE CIR |
City | SPRINGFIELD |
State | MA |
Zip Code | 01107 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David Thomas Decoteau | 22 Candice Cir, Springfield, MA 01107-1244 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lauren Elizabeth Marshall | 945 Armory St, Springfield, MA 01107 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Jennifer L Fish | 367 Union Street, Springfield, MA 01107 | Hairdresser/cosmetician | ~ |
Joseph Pagan | 59 Rowland Street, Springfield, MA 01107 | Medication Administration Certification | 2020-04-20 ~ 2022-04-19 |
Daniel Laguerre | 382 Springfield St, Springfield, MA 01107 | Crane Operator | ~ |
Kamal Kant Kalia | 2 Medical Center Drive, Springfield, MA 01107 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Bushee Enterprises LLC | Po Box 1196, Southwick, MA 01107 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
B Lopez | 165 Prospect Street, Springfield, MA 01107 | Notary Public Appointment | 2011-10-01 ~ 2016-09-30 |
Beth C Mcinerny | 260 Ware Road, Belchertown, MA 01107 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Jorge Enrique Rivera | 20 Narragansett Street, Springfield, MA 01107 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
Kevin M Mooney | 52 Gold Street, Springfield, MA 01107 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Find all Licenses in zip 01107 |
City | SPRINGFIELD |
Zip Code | 01107 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David Thomas Decoteau | 22 Candice Cir, Springfield, MA 01107-1244 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rachael Konigsberg | 189 Everit St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-12-04 ~ 2021-02-28 |
Rachael Springer | 371 Middle Rd, Farmington, CT 06032-2036 | Controlled Substance Registration for Practitioner | 2013-03-22 ~ 2015-02-28 |
Rachael A Williams | 33 Newfield Ave Apt 5, Waterbury, CT 06708-2330 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Rachael A Cruz | 11 Melissa Way, Tolland, CT 06084 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rachael-ann M Joseph | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2010-12-13 ~ 2013-02-28 |
Rachael E Gately | 149 New Sweden Rd, Woodstock, CT 06281-3214 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rachael L Currao | 87 Chevas Rd, Avon, CT 06001-3204 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rachael A Mebus | 5 Darrows Rdg Rd, East Lyme, CT 06333-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rachael Elizabeth Staub | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).