DEBORAH ANN DOMINGUEZ (Credential# 213487) 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.
DEBORAH ANN DOMINGUEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028333. 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 146 Wildwood Rd, Tolland, CT 06084-2164. The current status is active.
| Licensee Name | DEBORAH ANN DOMINGUEZ |
| Credential ID | 213487 |
| Credential Number | CSP.0028333 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
146 Wildwood Rd Tolland CT 06084-2164 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-06-09 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 680223 | 12.002045 | Advanced Practice Registered Nurse | 1999-03-26 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 620962 | 10.E51933 | Registered Nurse | 1989-08-24 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 146 WILDWOOD RD |
| City | TOLLAND |
| State | CT |
| Zip Code | 06084-2164 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yuri L Dominguez Aprn | 146 Wildwood Rd, Tolland, CT 06084-2164 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leela Panoor Md | 100 Wildwood Rd, Tolland, CT 06084-2164 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John Palozie | 103 Wildwood Rd, Tolland, CT 06084-2164 | Emergency Medical Technician | 2020-04-09 ~ 2022-03-31 |
| David Webster Jr | 128 Wildwood Rd, Tolland, CT 06084-2164 | New Home Construction Contractor | 2014-03-31 ~ 2015-09-30 |
| Michael G Casieri | 157 Wildwood Rd, Tolland, CT 06084-2164 | Electrical Limited Contractor | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janice M Heldmann-o'connell · Heldmann | 18 Thomas Dr, Tolland, CT 06084 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Barbara Ann Stebbins | 18 Midland Drive, Tolland, CT 06084 | Registered Nurse | ~ |
| Carrie Elizabeth Gill | 63 Hill Top Road, Tolland, CT 06084 | Behavior Analyst | ~ |
| Kollas Apple Orchard | 41 New Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Frederick M Daniels Dds | 12 Goose Lane, Tolland, CT 06084 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Pat's Power Equipment LLC | 401 Merrow Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Keri A Johnson | 224 Buff Cap Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Clifford Vernor Dunn, IIi | 44 Birch Hill Dr., Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Aimee Wendy Johnson | 175 South River Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Peter D Staiger Md | David E. Palozej Eyecare Associates, Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06084 | |||
| City | TOLLAND |
| Zip Code | 06084 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TOLLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis S Dominguez | 54 Bessom St Apt 1, Lynn, MA 01902-1205 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jennifer Dominguez | 81 Cottage Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Dora P Dominguez | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Thomas Joseph Dominguez | 749 Farmington Ave Apt 3w, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Troy Edward Dominguez | 360 State Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yulanka Castro Dominguez | 20 York Street, Tompkins 226, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Deborah L Schroter Md | 26 Elm St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Deborah H Chun Md | Philadelphia, PA 19116 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Deborah Pan | 1 Audubon St Ste 201, New Haven, CT 06511-6431 | Controlled Substance Registration for Practitioner | 2019-03-04 ~ 2021-02-28 |
| Deborah M Link Dvm | Po Box 360, Ellington, CT 06029 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Please comment or provide details below to improve the information on DEBORAH ANN DOMINGUEZ.
| 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).