MARIE-HELENE POULIOT MD (Credential# 556580) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MARIE-HELENE POULIOT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038992. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1062 Barnes Road Suite 102, Wallingford, CT 06517. The current status is active.
| Licensee Name | MARIE-HELENE POULIOT MD |
| Credential ID | 556580 |
| Credential Number | 1.038992 |
| Credential Type | Physician/Surgeon |
| Business Address |
1062 Barnes Road Suite 102 Wallingford CT 06517 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-09-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 244792 | CSP.0030233 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-11-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1062 BARNES ROAD SUITE 102 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06517 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | WALLINGFORD |
| Zip Code | 06517 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helene R Jacobs | 706 Eleventh Ave, Huntington, WV 25701 | Physician/surgeon | 1996-11-18 ~ 1997-10-31 |
| Helene M Keable | 217 E 96th St Apt 39c, New York, NY 10128-3993 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Dorothy Amy Sippo | 40 Helene Rd, Waban, MA 02468-1025 | Physician/surgeon | 2020-04-02 ~ 2021-03-31 |
| Helene Pavlov | 535 E. 70th Street, New York, NY 10021 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Alan R Pouliot · Alan Pouliot Carpentry | 160 Windermere Ave Apt 4208, Ellington, CT 06029-3945 | Home Improvement Contractor | 2016-12-01 ~ 2017-11-30 |
| Michelle J Pouliot | 536 Main St, New Hartford, CT 06057-2108 | Naturopathic Physician | 2020-05-01 ~ 2021-04-30 |
| Ann Marie Connor | 848 Nebraska Ave W, St Paul, MN 55117 | Physician/surgeon | 1996-10-02 ~ 1997-11-30 |
| Marie K Carter Md | 75 Oswegatchie Rd, Waterford, CT 06385 | Physician/surgeon | 2002-05-28 ~ 2003-05-31 |
| Shauna Marie Smith | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Marie-anne Denayer Md | 31 Lee Dr, Southington, CT 06489-2926 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
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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).