SANDRA A BLACKLER
Controlled Substance Registration for Practitioner


Address: 213 S Broadway Apt 1, Tarrytown, NY 10591-4512

SANDRA A BLACKLER (Credential# 1120382) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

SANDRA A BLACKLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053578. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 213 S Broadway Apt 1, Tarrytown, NY 10591-4512. The current status is inactive.

Basic Information

Licensee Name SANDRA A BLACKLER
Credential ID 1120382
Credential Number CSP.0053578
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 213 S Broadway Apt 1
Tarrytown
NY 10591-4512
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-08-30
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1081802 47.003765 Veterinarian 2012-07-16 2013-07-01 - 2014-06-30 INACTIVE

Office Location

Street Address 213 S BROADWAY APT 1
City TARRYTOWN
State NY
Zip Code 10591-4512

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Competitor

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City TARRYTOWN
Zip Code 10591
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TARRYTOWN

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Dataset Information

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).

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