STEPHEN L GOBEILLE PA (Credential# 444957) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 17, 2018. The license expiration date date is February 28, 2021. The license status is ACTIVE.
STEPHEN L GOBEILLE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039557. The credential type is controlled substance registration for practitioner. The effective date is October 17, 2018. The expiration date is February 28, 2021. The business address is 22 Beachside Dr, Ludlow, MA 01056-2440. The current status is active.
| Licensee Name | STEPHEN L GOBEILLE PA |
| Credential ID | 444957 |
| Credential Number | CSP.0039557 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
22 Beachside Dr Ludlow MA 01056-2440 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-07-24 |
| Effective Date | 2018-10-17 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743531 | 23.001782 | Physician Assistant | 2006-07-10 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 22 BEACHSIDE DR |
| City | LUDLOW |
| State | MA |
| Zip Code | 01056-2440 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Corinne M Gobeille | 22 Beachside Dr, Ludlow, MA 01056-2440 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ludlow Central Bakery · Ludlow Central Bakery Inc | 270 East St, Ludlow, MA 01056 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Alan J Vautrain | 45 Booth St., Ludlow, MA 01056 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Elizabete R Branco | 432 Munsing St, Ludlow, MA 01056 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Amanda Lee Banks | 125 Coolidle Ave, Ludlow, MA 01056 | Registered Nurse | ~ |
| Nicole Ashley Skelly | 35 Knollwood Road, Ludlow, MA 01056 | Notary Public Appointment | 2015-02-19 ~ 2020-02-28 |
| Vitor Machado | 32 Emma Way, Ludlow, MA 01056 | Hoisting Equipment Operator | 2020-05-17 ~ 2022-05-16 |
| Richard Wheway | 308 Miller St, Ludlow, MA 01056 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Vanessa P Ferreira | 146 Center Street, Ludlow, MA 01056 | Pharmacy Technician | 2019-04-01 ~ 2020-03-31 |
| Kali Olsen | 58 Lakeview Ave, Ludlow, MA 01056 | Naturopathic Physician | 2020-04-01 ~ 2021-03-31 |
| Katherine M Dacruz · Gazda | 292 Woodland Circle, Ludlow, MA 01056 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Find all Licenses in zip 01056 | |||
| City | LUDLOW |
| Zip Code | 01056 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LUDLOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen D Rosenman | Fairfield, CT 06824-1983 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Stephen E Adolfsen | 22 Ark Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Stephen V Sharnick | York, PA 17404 | Controlled Substance Registration for Practitioner | 2011-07-17 ~ 2013-02-28 |
| Stephen K Wong | New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Stephen F Carolan | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen P Herman | 74 Beardsley Rd, New Milford, CT 06776-3956 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen J Oehlers Md | 30 E Grand Ave Apt D, New Haven, CT 06513-4072 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Stephen P Maloney | 43 Newfield Ave Apt 14, Waterbury, CT 06708-2331 | Controlled Substance Registration for Practitioner | 2009-03-20 ~ 2011-02-28 |
| Stephen A Goldberg Md | 3 Wakefield Rd, Scarsdale, NY 10583-7125 | Controlled Substance Registration for Practitioner | 2009-03-10 ~ 2011-02-28 |
| Stephen H Wrzesinski Md | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on STEPHEN L GOBEILLE PA.
| 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).