ERNESTINE M BOUCHARD (Credential# 779910) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is December 19, 2008. The license expiration date date is January 31, 2010. The license status is INACTIVE.
ERNESTINE M BOUCHARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.001669. The credential type is licensed clinical social worker. The effective date is December 19, 2008. The expiration date is January 31, 2010. The business address is 22 River Camp Drive, Newington, CT 06111-1837. The current status is inactive.
Licensee Name | ERNESTINE M BOUCHARD |
Credential ID | 779910 |
Credential Number | 58.001669 |
Credential Type | Licensed Clinical Social Worker |
Business Address |
22 River Camp Drive Newington CT 06111-1837 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1986-10-01 |
Effective Date | 2008-12-19 |
Expiration Date | 2010-01-31 |
Refresh Date | 2010-05-25 |
Street Address | 22 River Camp Drive |
City | Newington |
State | CT |
Zip Code | 06111-1837 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan P Oakes | 84 River Camp Dr, Newington, CT 06111-1837 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
Paige S Corral | 34 River Camp Dr, Newington, CT 06111-1837 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
Find all Licenses in zip 06111 |
City | Newington |
Zip Code | 06111 |
License Type | Licensed Clinical Social Worker |
License Type + County | Licensed Clinical Social Worker + Newington |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rondey A Allen | Crosspoint Clinical Services, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
Tameka J Kelley | CT | Licensed Clinical Social Worker | ~ |
Yun Li | 24 Miles Ave, Providence, RI 02906-4215 | Licensed Clinical Social Worker | 2018-08-01 ~ 2019-07-31 |
Wayne H Bedurtha | 26 Rex Rd, Lisbon, CT 06351-2821 | Licensed Clinical Social Worker | ~ |
Frances Becker | 75 Cos Cob Ave Apt 16, Cos Cob, CT 06807-2150 | Licensed Clinical Social Worker | 2020-01-01 ~ 2020-12-31 |
Amy V Jaffe | 601 W End Ave, New York, NY 10024-1611 | Licensed Clinical Social Worker | 2015-07-01 ~ 2016-06-30 |
Amy Roe | 42 School St, New London, CT 06320-4611 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
Wei Lin Lim | 9 Serangoon Ave 2, Singapore, SG 556134 | Licensed Clinical Social Worker | 2015-05-01 ~ 2016-04-30 |
Brian G Jin | 15 Ivy Pl, Norwalk, CT 06854-1405 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
Eva M Hill | # G4, Washington, DC 20008 | Licensed Clinical Social Worker | 2009-12-01 ~ 2010-11-30 |
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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).