DEANNA M BALLARD
Controlled Substance Registration for Practitioner


Address: 95 Locust Ave- Praxair Cancer Center, Danbury, CT 06810-8205

DEANNA M BALLARD (Credential# 1342079) 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

DEANNA M BALLARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062339. 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 95 Locust Ave- Praxair Cancer Center, Danbury, CT 06810-8205. The current status is active.

Basic Information

Licensee Name DEANNA M BALLARD
Credential ID 1342079
Credential Number CSP.0062339
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 95 Locust Ave- Praxair Cancer Center
Danbury
CT 06810-8205
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-03-30
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1338953 12.006507 Advanced Practice Registered Nurse 2016-03-28 2019-10-01 - 2020-09-30 ACTIVE
580125 10.076122 Registered Nurse 2005-07-26 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 95 Locust Ave- Praxair Cancer Center
City DANBURY
State CT
Zip Code 06810-8205

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Competitor

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City DANBURY
Zip Code 06810
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DANBURY

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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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