HEATHER L WASHBURN (Credential# 477245) 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.
HEATHER L WASHBURN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041957. 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 160 Cross Creek Way, Palmyra, VA 22963-4913. The current status is lapsed.
| Licensee Name | HEATHER L WASHBURN |
| Credential ID | 477245 |
| Credential Number | CSP.0041957 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
160 Cross Creek Way Palmyra VA 22963-4913 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2007-07-23 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 772954 | 47.003280 | Veterinarian | 2007-06-28 | 2017-07-01 - 2018-06-30 | INACTIVE |
| Street Address | 160 CROSS CREEK WAY |
| City | PALMYRA |
| State | VA |
| Zip Code | 22963-4913 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William P Caretsky | 15 Out of Bounds Rd, Palmyra, VA 22963 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Tamara G Watson | 3 Holly Circle, Palmyra, VA 22963 | Registered Nurse | 2010-12-01 ~ 2011-11-30 |
| Thomas J Reilly | 803 Jefferson Drive, Palmyra, VA 22963 | Registered Nurse | 2010-03-01 ~ 2011-02-28 |
| Jeffrey C Ciucias | 149 Jefferson Dr, Palmyra, VA 22963 | Registered Nurse | 1991-12-20 ~ 1992-12-31 |
| Winifred A Golden · Egan | 16 Hardwood Road, Palmyra, VA 22963 | Registered Nurse | 1996-01-31 ~ 1997-02-28 |
| Joan M Wasserott | 2 South Bearwood Dr, Palmyra, VA 22963 | Registered Nurse | 1999-11-02 ~ 2000-11-30 |
| Tiffany Gwynndolyn Ashley Chatham | 20 Wildwood Drive, Palmyra, VA 22963 | Registered Nurse | 2016-08-31 ~ 2017-06-30 |
| Joan F Nelsen | 10 Mulligan Dr, Palmyra, VA 22963-2560 | Dental Hygienist | 2013-12-01 ~ 2014-11-30 |
| Judith Graham | 9 Windy Way, Palmyra, VA 22963-2642 | Registered Nurse - Temporary | 2010-12-06 ~ 2011-04-05 |
| Suzanne Marie Paton | 2 Xebec Rd, Palmyra, VA 22963-2743 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 22963 | |||
| City | PALMYRA |
| Zip Code | 22963 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PALMYRA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Washburn | 142 Natick Ave, Warwick, RI 02886-3157 | Controlled Substance Registration for Practitioner | 2019-02-05 ~ 2021-02-28 |
| Abigail E Washburn Pa-c | 25 New South St #301, Northampton, MA 01060 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Ravi M Kagali | 2 Washburn Ter Apt 2b, Saugerties, NY 12477 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kelly N Washburn | 2639 N Watts St, Portland, OR 97217-6369 | Controlled Substance Registration for Practitioner | 2019-04-09 ~ 2021-02-28 |
| Christie C Marcus | 25 Washburn Drive, Stratford, CT 06614-4635 | Controlled Substance Registration for Practitioner | 2019-12-12 ~ 2021-02-28 |
| Carl F Washburn Jr Md | 281 Parish Hill Road, Chaplin, CT 06235 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Heather A Alfonso | 195 Joy Rd, Middlebury, CT 06762-2521 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Heather L Champagne Pa-c | 11 Fox Hunt Way, Harwinton, CT 06791-2914 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heather C Borsari | 68 E Main St, Clinton, CT 06413-2035 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Heather H Burris Md | 330 Brookline Ave, Ro 318, Bld Mc Neo, Boston, MA 02215 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).