LAURA D DIRICO
Controlled Substance Registration for Practitioner


Address: 48 Monticello Dr, Branford, CT 06405-4157

LAURA D DIRICO (Credential# 1396916) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 24, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

LAURA D DIRICO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064539. The credential type is controlled substance registration for practitioner. The effective date is May 24, 2019. The expiration date is February 28, 2021. The business address is 48 Monticello Dr, Branford, CT 06405-4157. The current status is active.

Basic Information

Licensee Name LAURA D DIRICO
Credential ID 1396916
Credential Number CSP.0064539
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 48 Monticello Dr
Branford
CT 06405-4157
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-01-07
Effective Date 2019-05-24
Expiration Date 2021-02-28
Refresh Date 2019-05-28

Other licenses

ID Credential Code Credential Type Issue Term Status
609767 10.E38822 Registered Nurse 1976-09-10 2019-08-01 - 2020-07-31 ACTIVE
1375339 12.006796 Advanced Practice Registered Nurse 2016-10-24 2019-08-01 - 2020-07-31 ACTIVE
1374443 10.136422-TEMP Registered Nurse - Temporary 2016-08-18 2016-08-18 - 2016-12-15 INACTIVE

Office Location

Street Address 48 MONTICELLO DR
City BRANFORD
State CT
Zip Code 06405-4157

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Competitor

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City BRANFORD
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD

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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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