LISA E CARLSON
Controlled Substance Registration for Practitioner


Address: 20 Old Farms Rd, Andover, CT 06232-1028

LISA E CARLSON (Credential# 1147102) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 30, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

LISA E CARLSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054155. The credential type is controlled substance registration for practitioner. The effective date is January 30, 2013. The expiration date is February 28, 2015. The business address is 20 Old Farms Rd, Andover, CT 06232-1028. The current status is inactive.

Basic Information

Licensee Name LISA E CARLSON
Credential ID 1147102
Credential Number CSP.0054155
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 20 Old Farms Rd
Andover
CT 06232-1028
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-01-30
Effective Date 2013-01-30
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
772340 47.002666 Veterinarian 1999-06-11 2013-06-01 - 2014-05-31 INACTIVE

Office Location

Street Address 20 OLD FARMS RD
City ANDOVER
State CT
Zip Code 06232-1028

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Competitor

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City ANDOVER
Zip Code 06232
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ANDOVER

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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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