HEATHER W MYRICK
Controlled Substance Registration for Practitioner


Address: 55 Pebble Dr, Southington, CT 06489-1751

HEATHER W MYRICK (Credential# 1127341) 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.

Business Overview

HEATHER W MYRICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053868. 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 55 Pebble Dr, Southington, CT 06489-1751. The current status is active.

Basic Information

Licensee Name HEATHER W MYRICK
Credential ID 1127341
Credential Number CSP.0053868
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 55 Pebble Dr
Southington
CT 06489-1751
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-10-16
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1118435 12.005176 Advanced Practice Registered Nurse 2012-10-03 2019-07-01 - 2020-06-30 ACTIVE
655006 10.R55264 Registered Nurse 1998-03-27 2019-07-01 - 2020-06-30 ACTIVE

Office Location

Street Address 55 PEBBLE DR
City SOUTHINGTON
State CT
Zip Code 06489-1751

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Competitor

Search similar business entities

City SOUTHINGTON
Zip Code 06489
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHINGTON

Similar businesses

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Karen M Myrick 65 Lyman Rd, West Hartford, CT 06117-1312 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Heather M Koning 9 Longbrook Rd, Byfield, MA 01922-2811 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Heather H Burris Md 330 Brookline Ave, Ro 318, Bld Mc Neo, Boston, MA 02215 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Heather L Carney 140 Briarcliff Rd, Hamden, CT 06518 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Heather Humphrey 84 Portland St, Oakville, CT 06779-1032 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Heather Ann Osborn 35 Park St Fl 4, New Haven, CT 06519-1110 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Heather Tettelbach 10 Valley Ln, Fairfield, CT 06825-1436 Controlled Substance Registration for Practitioner 2020-01-07 ~ 2021-02-28
Heather A Nodeland Pa-c 317 E 34th St Fl 3, New York, NY 10016-4974 Controlled Substance Registration for Practitioner 2008-02-04 ~ 2009-02-28
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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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