ANNE MARIE BOUSTANI (Credential# 947018) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ANNE MARIE BOUSTANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048434. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 47 Hickory Rd, Woodbridge, CT 06525-1437. The current status is active.
| Licensee Name | ANNE MARIE BOUSTANI |
| Credential ID | 947018 |
| Credential Number | CSP.0048434 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
47 Hickory Rd Woodbridge CT 06525-1437 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-08-26 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1266015 | 1.053909 | Physician/Surgeon | 2015-03-11 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 47 HICKORY RD |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525-1437 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Harry Beasley | 39 Hickory Rd, Woodbridge, CT 06525-1437 | Controlled Substance Registration for Practitioner | 2020-03-02 ~ 2021-02-28 |
| James R Kaoud | 35 Hickory Rd, Woodbridge, CT 06525-1437 | Emergency Medical Technician | 2019-07-01 ~ 2022-06-30 |
| Eiji Yanagisawa | 25 Hickory Rd, Woodbridge, CT 06525-1437 | Physician/surgeon | 2013-06-01 ~ 2014-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | WOODBRIDGE |
| Zip Code | 06525 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anne Marie E Arvidson | 1823 Queen Anne Ave N Ste 102, Seattle, WA 98109-2877 | Controlled Substance Registration for Practitioner | 2013-02-27 ~ 2015-02-28 |
| Anne Marie A Roe Md | 824 Palmer Rd Apt 3c, Bronxville, NY 10708-3318 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Anne-marie B Spear | 14 Silo Way, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 1994-01-25 ~ 1996-02-01 |
| Anne Marie Nock | 382 W Wolcott Ave, Windsor, CT 06095-4336 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Petra Marie Anne Pilgrim | 208 Valley Rd, New Canaan, CT 06840-3812 | Controlled Substance Registration for Practitioner | 2019-11-06 ~ 2021-02-28 |
| Anne Marie F Villa | 150 Hazard Avenue, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anne Marie A Mindoro Corpus Dds | 110 Pine Hill Ave Apt 2, Stamford, CT 06906-1535 | Controlled Substance Registration for Practitioner | 2003-01-27 ~ 2004-02-28 |
| Anne Marie Grossi Aprn | 59 Calvin French Rd, Sterling, CT 06377 | Controlled Substance Registration for Practitioner | 2011-03-09 ~ 2013-02-28 |
| Donna Marie Marie Romito | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anne F Liu | 22 N Lake Dr Apt A1, Hamden, CT 06517-2417 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).