HARRISON D WILLCUTTS
Controlled Substance Registration for Practitioner


Address: 86 Forest Gln, West Springfield, MA 01089-1941

HARRISON D WILLCUTTS (Credential# 1299327) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 13, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

HARRISON D WILLCUTTS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060976. The credential type is controlled substance registration for practitioner. The effective date is July 13, 2015. The expiration date is February 28, 2017. The business address is 86 Forest Gln, West Springfield, MA 01089-1941. The current status is inactive.

Basic Information

Licensee Name HARRISON D WILLCUTTS
Credential ID 1299327
Credential Number CSP.0060976
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 86 Forest Gln
West Springfield
MA 01089-1941
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2015-07-13
Effective Date 2015-07-13
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1242481 1.054369 Physician/Surgeon 2015-07-08 2015-07-08 - 2016-05-31 INACTIVE

Office Location

Street Address 86 FOREST GLN
City WEST SPRINGFIELD
State MA
Zip Code 01089-1941

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Elizabeth A Favreau 21 Hummingbird Lane, West Springfield, MA 01089 Registered Nurse 2020-09-01 ~ 2021-08-31
James M Hanifan 90 Bayberry Ln, W Springfield, MA 01089 Architect 2020-08-01 ~ 2021-07-31
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Competitor

Search similar business entities

City WEST SPRINGFIELD
Zip Code 01089
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST SPRINGFIELD

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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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