CORRENE L BOUCHER (Credential# 555569) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
CORRENE L BOUCHER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037979. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is Middlesex Pediatric Assoc, Middletown, CT 06457. The current status is active.
| Licensee Name | CORRENE L BOUCHER |
| Credential ID | 555569 |
| Credential Number | 1.037979 |
| Credential Type | Physician/Surgeon |
| Business Address |
Middlesex Pediatric Assoc Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-07-23 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 217039 | CSP.0028685 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-08-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | MIDDLESEX PEDIATRIC ASSOC |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Tillinghast Md | Middlesex Pediatric Assoc, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Janet S Tibbetts Aprn | Middlesex Pediatric Assoc, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| C A Boucher Co Inc | 30 Dark Entry Rd, Washington, CT 06793 | Home Improvement Contractor | 2008-12-09 ~ 2009-11-30 |
| Jules Boucher · Jules Boucher Remodeling | 995 Burlington Ave, Bristol, CT 06010 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Correne M Auer | 1 Farmview Ln, Granby, CT 06035-1712 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Ronald L Boucher · R L Boucher | 128 Maple Street, Somersville, CT 06072 | New Home Construction Contractor | 2009-10-01 ~ 2011-09-30 |
| Scott Boucher · Boucher Construction | 19 Cook Ave, Enfield, CT 06082 | Home Improvement Contractor | 2005-12-01 ~ 2006-11-30 |
| Alan H Boucher · A H Boucher Associates | Po Box 365, Cornwall On Hudson, NY 12520 | Home Improvement Contractor | 2002-12-06 ~ 2003-11-30 |
| John J Boucher · Boucher's Flooring | 194 Allentown Road, Bristol, CT 06010 | Home Improvement Contractor | 2001-03-14 ~ 2001-11-30 |
| David W Boucher Jr · Boucher Builders | 502 South Street Apt D10, Bristol, CT 06010 | Home Improvement Contractor | 2006-08-22 ~ 2006-11-30 |
| Venus D Boucher-greaves · Boucher | 441 Main Street, East Hartford, CT 06118-1492 | Hairdresser/cosmetician | 2006-08-22 ~ 2008-08-31 |
| Lisa M Boucher · Boucher | 31 Training Hill Road, Middletown, CT 06457-5349 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on CORRENE L BOUCHER.
| 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).