TINA A BOUCHER DPM (Credential# 411081) 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.
TINA A BOUCHER DPM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037822. 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 807 Broad St, Meriden, CT 06450-4301. The current status is active.
| Licensee Name | TINA A BOUCHER DPM |
| Credential ID | 411081 |
| Credential Number | CSP.0037822 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
807 Broad St Meriden CT 06450-4301 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-07-19 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 699242 | 19.000805 | Podiatrist | 2005-07-01 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 807 BROAD ST |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-4301 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rachaellee E Standish | 5401 Yale Ave, Meriden, CT 06450 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Yajaira Perez | 44 Sagamore Rd, Meriden, CT 06450 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Stephanie Savejs | 818 Paddock Ave, Meriden, CT 06450 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kellie Victoria Katkauskas | 194 Catherine Dr., Meriden, CT 06450 | Marital and Family Therapist Associate | ~ |
| Shannon Lee Nessing | 278 Britannia St, Meriden, CT 06450 | Nail Technician | ~ |
| Miller Company | 99 Center St, Meriden, CT 06450 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kristina Rodriguez | 51 Hobart St., Waterbury, CT 06450 | Medication Administration Certification | 2018-07-24 ~ 2020-07-23 |
| Agatha V Pestilli | 148 Alexander Dr, Meriden, CT 06450 | Architect | 2020-08-01 ~ 2021-07-31 |
| Wayne M Flis | 250 Liberty St. #1, Meriden, CT 06450 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| J&e General Contractor LLC | 787 N Colony Rd Apt 29, Meriden, CT 06450 | Home Improvement Contractor | 2020-06-23 ~ 2020-11-30 |
| Find all Licenses in zip 06450 | |||
| City | MERIDEN |
| Zip Code | 06450 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MERIDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa J Boucher | 60 Lane St, Shelton, CT 06484-5225 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| O Tina Rose Md | 242 W Elm St, New Haven, CT 06515-2035 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tina R S Theroux Dmd | 53 Stonehill Dr, Killingworth, CT 06419 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Tina Ho Dds | 465 Buckland Hills Dr, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Tina H Chen | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Tina Robbins | 22 Hall Ln, Berlin, CT 06037-2603 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tina S Richman Md | 25 Punch Bowl Dr, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Tina M Hinchey | 83 Riverview Road, Glastonbury, CT 06033-1332 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tina K Mcgillicuddy Aprn | 30 Gardner Rd Apt 6f, Brookline, MA 02445-4555 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Tina V Imbriglio | 8 Staunton Ct Unit C, Farmington, CT 06032-3538 | Controlled Substance Registration for Practitioner | 2015-07-27 ~ 2017-02-28 |
Please comment or provide details below to improve the information on TINA A BOUCHER DPM.
| 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).