GENEVIEVE N DINH
Controlled Substance Registration for Practitioner


Address: 2640 Moon Chase Ln, Buford, GA 30519-5363

GENEVIEVE N DINH (Credential# 1315169) 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

GENEVIEVE N DINH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061579. 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 2640 Moon Chase Ln, Buford, GA 30519-5363. The current status is lapsed.

Basic Information

Licensee Name GENEVIEVE N DINH
Credential ID 1315169
Credential Number CSP.0061579
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2640 Moon Chase Ln
Buford
GA 30519-5363
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-10-07
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
903668 CSP.0046982 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-11-23 2017-03-01 - 2019-02-28 LAPSED
898011 12.004249 Advanced Practice Registered Nurse 2009-11-06 2016-09-01 - 2017-08-31 INACTIVE
577937 10.073933 Registered Nurse 2004-08-02 2016-09-01 - 2017-08-31 INACTIVE

Office Location

Street Address 2640 MOON CHASE LN
City BUFORD
State GA
Zip Code 30519-5363

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Emily Yntema 2085 Democracy Dr, Buford, GA 30519 Registered Nurse 2020-04-06 ~ 2021-02-28
Brian D Pham 2502 Shoals Bluff Ct, Buford, GA 30519 Pharmacist 2020-02-01 ~ 2022-01-31
Sharkeiya T Terrell 1202 Laurel Valley Court, Buford, GA 30519 Registered Nurse - Temporary 2019-09-20 ~ 2020-01-18
Samantha A. Vietry 2689 Kelly Cove Drive, Buford, GA 30519 Certified Public Accountant Certificate 2020-01-01 ~ 2020-12-31
Scott Long · Aaa Tank Testers C/o Aaa Tank Testers, Braselton, GA 30519 Repairer of Weighing & Measuring Devices 2000-01-20 ~ 2000-12-31
Dwight L Martin 3364 Charlemagne Dr, Buford, GA 30519 Tv & Radio Limited Dish Antenna Technician ~
Joseph K Boulware Po Box 789, Braselton, GA 30519 Repairer of Weighing & Measuring Devices 2001-10-30 ~ 2002-12-31
Michael W Mcdaniel 3124 Windgate Dr, Buford, GA 30519-1938 Lottery Or Otb Service Provider Employee 2014-11-17 ~ 2015-12-31
Lester L Dawkins 2361 Walnut Tree Ct, Buford, GA 30519-2260 Lottery Or Otb Service Provider Employee 2020-03-16 ~ 2020-12-31
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Competitor

Search similar business entities

City BUFORD
Zip Code 30519
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BUFORD

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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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