ALICE R HOLLAND
Controlled Substance Registration for Practitioner


Address: 6 Hollis St, Fairfield, CT 06824-6410

ALICE R HOLLAND (Credential# 1189036) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

ALICE R HOLLAND is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056276. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 6 Hollis St, Fairfield, CT 06824-6410. The current status is inactive.

Basic Information

Licensee Name ALICE R HOLLAND
Credential ID 1189036
Credential Number CSP.0056276
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 6 Hollis St
Fairfield
CT 06824-6410
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-10-12
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1180658 12.005516 Advanced Practice Registered Nurse 2013-09-05 2014-12-01 - 2015-11-30 INACTIVE
1180649 10.113514 Registered Nurse 2013-09-05 2014-12-01 - 2015-11-30 INACTIVE

Office Location

Street Address 6 HOLLIS ST
City FAIRFIELD
State CT
Zip Code 06824-6410

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Carl R Poulsen 5 Hollis Street, Fairfield, CT 06824-6410 Lead Inspector Risk Assessor 2019-10-01 ~ 2020-09-30

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Competitor

Search similar business entities

City FAIRFIELD
Zip Code 06824
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD

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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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