DEBORAH W MILES
Controlled Substance Registration for Practitioner


Address: 215 W Pond Road Ext, North Branford, CT 06471-1429

DEBORAH W MILES (Credential# 1156921) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

DEBORAH W MILES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054470. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 215 W Pond Road Ext, North Branford, CT 06471-1429. The current status is lapsed.

Basic Information

Licensee Name DEBORAH W MILES
Credential ID 1156921
Credential Number CSP.0054470
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 215 W Pond Road Ext
North Branford
CT 06471-1429
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2013-04-04
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Office Location

Street Address 215 W POND ROAD EXT
City NORTH BRANFORD
State CT
Zip Code 06471-1429

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Competitor

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City NORTH BRANFORD
Zip Code 06471
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH BRANFORD

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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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