PHUONG H BATOULI (Credential# 522755) 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.
PHUONG H BATOULI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045001. 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 5201 Levering Mill Rd, Apex, NC 27539-3640. The current status is lapsed.
| Licensee Name | PHUONG H BATOULI |
| Credential ID | 522755 |
| Credential Number | CSP.0045001 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5201 Levering Mill Rd Apex NC 27539-3640 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2009-01-14 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743961 | 23.002212 | Physician Assistant | 2008-12-15 | 2016-10-25 - 2017-04-30 | INACTIVE |
| 846302 | 70.006569 | Emergency Medical Technician | 2005-10-25 | 2005-10-25 - 2007-07-01 | INACTIVE |
| Street Address | 5201 LEVERING MILL RD |
| City | APEX |
| State | NC |
| Zip Code | 27539-3640 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew David Morin | 4309 Windsong Circle, Apex, NC 27539 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Mark T Otten | 915 Cambridge Hall Loop, Apex, NC 27539 | Professional Engineer | 2020-02-05 ~ 2021-01-31 |
| Courtney H Revie | 2925 Oakley Woods Lane, Apex, NC 27539 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Melissa V Taylor | 112 Aldenwood Place, Apex, NC 27539 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Melissa L Witherow | 7221 Bedford Ridge Drive, Apex, NC 27539 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Global Service Network Inc | 1030 Classic Road, Apex, NC 27539 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Daniel F Southwick | 3604 Heritage Creek Dr, Apex, NC 27539 | Professional Engineer | 2012-02-21 ~ 2013-01-31 |
| Saba Badalamenti | 2612 Branston Way, Apex, NC 27539 | Pharmacist | 2012-02-01 ~ 2014-01-31 |
| Arline L Honeycutt | 6232 Ten-ten Road, Apex, NC 27539 | Hairdresser/cosmetician | 2008-05-19 ~ 2010-06-30 |
| Lesley B Bentley · Bentley | 4425 Fairview Ridge Lane, Apex, NC 27539 | Registered Nurse | 2009-02-17 ~ 2010-02-28 |
| Find all Licenses in zip 27539 | |||
| City | APEX |
| Zip Code | 27539 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + APEX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ali Batouli | 1450 Chapel St Rm 224, New Haven, CT 06511-4405 | Controlled Substance Registration for Practitioner | 2013-04-14 ~ 2015-02-28 |
| Lisa Phuong | 440 W End Ave Apt 12f, New York, NY 10024-5358 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Phuong Q Tien | 65 Prospect St Apt T-5, Stamford, CT 06901 | Controlled Substance Registration for Practitioner | 2007-08-30 ~ 2008-02-29 |
| Lan Phuong V Pham Md | 16 Nottinghem Way, Mahopac, NY 10541 | Controlled Substance Registration for Practitioner | 2006-02-27 ~ 2007-02-28 |
| Phuong Luu | Prime Healthcare, PC, Aveon, CT 06001 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Phuong L Tran | 10 B1 Lakeshore Dr, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 1993-10-29 ~ 1995-11-01 |
| Phuong A Nguyen Od | 1402 Berlin Tpke, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Phuong Thanh Nguyen Nhu | 290 Brittany Farms Rd Apt H, New Britain, CT 06053-1146 | Controlled Substance Registration for Practitioner | 2017-06-14 ~ 2019-02-28 |
| Thanh Phuong Trinh | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-07-29 ~ 2021-02-28 |
| Phuong Thi Le Phuong | 98 Baldwin Rd, Manchester, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Please comment or provide details below to improve the information on PHUONG H BATOULI.
| 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).