VIRGINIA H. BASS
Controlled Substance Registration for Practitioner


Address: 101 Catherie St, Newport, RI 02840

VIRGINIA H. BASS (Credential# 1212526) 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

VIRGINIA H. BASS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056871. 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 101 Catherie St, Newport, RI 02840. The current status is inactive.

Basic Information

Licensee Name VIRGINIA H. BASS
Credential ID 1212526
Credential Number CSP.0056871
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 101 Catherie St
Newport
RI 02840
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2014-03-21
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
1197360 1.052795 Physician/Surgeon 2014-02-28 2015-02-01 - 2016-01-31 INACTIVE

Office Location

Street Address 101 Catherie St
City Newport
State RI
Zip Code 02840

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Competitor

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City Newport
Zip Code 02840
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Newport

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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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