NICOLE M CHEVALIER
Controlled Substance Registration for Practitioner


Address: 33 Sequin Road, West Hartford, CT 06117-1724

NICOLE M CHEVALIER (Credential# 1315616) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

NICOLE M CHEVALIER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061594. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 33 Sequin Road, West Hartford, CT 06117-1724. The current status is active.

Basic Information

Licensee Name NICOLE M CHEVALIER
Credential ID 1315616
Credential Number CSP.0061594
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 33 Sequin Road
West Hartford
CT 06117-1724
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-10-08
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-22

Other licenses

ID Credential Code Credential Type Issue Term Status
1306943 23.003449 Physician Assistant 2015-10-06 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 33 Sequin Road
City WEST HARTFORD
State CT
Zip Code 06117-1724

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Competitor

Search similar business entities

City WEST HARTFORD
Zip Code 06117
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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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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