ALEXA ANN ILLINGWORTH
Controlled Substance Registration for Practitioner


Address: 14684 Sunset Dr, Largo, FL 33774-4805

ALEXA ANN ILLINGWORTH (Credential# 1372246) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 13, 2016. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

ALEXA ANN ILLINGWORTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063813. The credential type is controlled substance registration for practitioner. The effective date is August 13, 2016. The expiration date is February 28, 2017. The business address is 14684 Sunset Dr, Largo, FL 33774-4805. The current status is inactive.

Basic Information

Licensee Name ALEXA ANN ILLINGWORTH
Credential ID 1372246
Credential Number CSP.0063813
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 14684 Sunset Dr
Largo
FL 33774-4805
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2016-08-13
Effective Date 2016-08-13
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1365610 10.134976-TEMP Registered Nurse - Temporary 2016-07-11 2016-07-11 - 2016-11-07 INACTIVE
1363483 10.136135 Registered Nurse 2016-08-08 2016-08-08 - 2016-10-31 INACTIVE
1363482 12.006641 Advanced Practice Registered Nurse 2016-08-08 2016-08-08 - 2016-10-31 INACTIVE

Office Location

Street Address 14684 SUNSET DR
City LARGO
State FL
Zip Code 33774-4805

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Lauren Kelley Milburn 14598 Apache Avenue, Largo, FL 33774 Registered Nurse - Temporary 2020-05-11 ~ 2020-09-08
Bruce John Bialaski 14184 Mark Dr, Largo, FL 33774 Heating, Piping & Cooling Limited Journeyperson 2019-09-03 ~ 2020-08-31
Michele Ciminera 13203 Whispering Palms Place, Largo, FL 33774 Optician 2017-11-01 ~ 2018-10-31
Nancy P Bacinello 13887 Sunset Dr, Largo, FL 33774 Registered Nurse 2017-01-01 ~ 2017-12-31
Linda N Krodel 10850 Spring Street, Largo, FL 33774 Registered Nurse 2014-12-01 ~ 2015-12-31
Cathleen A Wright 14840 Shipwatch Trace #1925, Largo, FL 33774 Registered Nurse 2016-08-01 ~ 2017-07-31
Catherine L Avery 10216 Regal Dr #710, Largo, FL 33774 Registered Nurse 2015-11-01 ~ 2016-10-31
Jean Gauval 14570-120th Ave No, Largo, FL 33774 Professional Engineer 2005-02-01 ~ 2006-01-31
Charles H Mcclellan IIi 14267 Sharon Dr, Largo, FL 33774 Heating, Piping & Cooling Limited Journeyperson 2011-09-02 ~ 2012-08-31
Janet M Kane 12501 Ulmerton Rd, Largo, FL 33774 Registered Nurse 2011-07-01 ~ 2012-06-30
Find all Licenses in zip 33774

Competitor

Search similar business entities

City LARGO
Zip Code 33774
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LARGO

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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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