TONYA BOUDREAUX MD (Credential# 512537) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
TONYA BOUDREAUX MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044492. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 1919 Blue Haven Dr, New Iberia, LA 70563-2128. The current status is inactive.
| Licensee Name | TONYA BOUDREAUX MD |
| Credential ID | 512537 |
| Credential Number | CSP.0044492 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1919 Blue Haven Dr New Iberia LA 70563-2128 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2008-08-27 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564368 | 1.046786 | Physician/Surgeon | 2008-07-16 | 2009-11-01 - 2010-10-31 | INACTIVE |
| Street Address | 1919 BLUE HAVEN DR |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70563-2128 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn J Markowich | 201 Pollard Avenue, New Iberia, LA 70563 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Southern Mutual Help Association Inc | 3602 Old Jeanerette Rd, New Iberia, LA 70563-3131 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Anthony Frank Knatt | 4604 Donna Dr, New Iberia, LA 70563-7800 | Registered Nurse - Temporary | 2017-03-29 ~ 2017-07-26 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan A Seghorn | 172 Eckart Drive, New Iberia, LA 70560-4871 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| David Calmon Benson | 665 E. Main Street, New Iberia, LA 70560 | Physician/surgeon | ~ |
| Theresa E Hicks-courtois | 506 Interlude Road, New Iberia, LA 70560 | Dental Hygienist | 1993-07-23 ~ 1994-07-31 |
| City | NEW IBERIA |
| Zip Code | 70563 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW IBERIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tonya L Kuhn | 28 Wellsweep Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2004-09-23 ~ 2005-02-28 |
| Tonya R Smith | 47 Pine Tree Ridge, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tonya E Hall | 15c Signal Hill Road, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tonya A Foreman Md | Yale Univ Ct Mental Health Ctr, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Boudreaux's Specialty Compounding | 2551 Greenwood Rd Ste 110, Shreveport, LA 71103 | Nonresident Pharmacy | 2013-09-01 ~ 2014-08-31 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on TONYA BOUDREAUX MD.
| 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).