LORRAINE M GERVAIS
Controlled Substance Registration for Practitioner


Address: 111 Hidden Fawn Lane, Hampstead, NC 28443

LORRAINE M GERVAIS (Credential# 466393) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

LORRAINE M GERVAIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041269. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 111 Hidden Fawn Lane, Hampstead, NC 28443. The current status is lapsed.

Basic Information

Licensee Name LORRAINE M GERVAIS
Credential ID 466393
Credential Number CSP.0041269
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 111 Hidden Fawn Lane
Hampstead
NC 28443
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2007-03-26
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
772908 47.003234 Veterinarian 2007-03-02 2017-06-01 - 2018-05-31 INACTIVE
466392 CSM.0000268 MANUFACTURER OF DRUGS, COSMETICS & MEDICAL DEVICES - PENDING

Office Location

Street Address 111 HIDDEN FAWN LANE
City Hampstead
State NC
Zip Code 28443

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
William Allen · Allens Home Improvement 23 Sally Ln, Hampstead, NC 28443 Home Improvement Contractor 2018-12-01 ~ 2019-11-30
John R Plimpton 863 Royal Tern Dr., Hampstead, NC 28443 Real Estate Salesperson 2018-06-01 ~ 2019-05-31
Melissa E Cuan 74 Twisted Oak Ct, Hampstead, NC 28443 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Jean M Jones 826 Highlands Dr, Hampstead, NC 28443 Registered Nurse 2016-11-01 ~ 2017-10-31
Lisa C Wagoner 602 Azalea Dr, Hamstead, NC 28443 Registered Nurse 2011-10-01 ~ 2012-09-30
Gerald E. Barr 110 Golf Terrace Drive, Wilmington, NC 28443 Certified Public Accountant Firm Permit 1998-01-01 ~ 1998-12-31
Morgan R Proulx 331 Masters Lane, Hampstead, NC 28443 Heating, Piping & Cooling Limited Journeyperson 2009-09-04 ~ 2010-08-31
Martin C Beirne 940 Highlands Drive, Hampstead, NC 28443 Physician/surgeon 2010-02-01 ~ 2011-01-31
Kathryn B Hubbard 315 Champion Drive, Hampstead, NC 28443 Licensed Practical Nurse 2001-07-16 ~ 2009-08-31
Ellen I Keating 148 Great Oak Dr, Hampstead, NC 28443 Registered Nurse 1992-01-23 ~ 1993-01-31
Find all Licenses in zip 28443

Competitor

Search similar business entities

City Hampstead
Zip Code 28443
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Hampstead

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Lorraine A Fournier 410 Springfield Rd, Somers, CT 06071 Controlled Substance Registration for Practitioner 2006-03-01 ~ 2007-02-28
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Dataset Information

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).

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