ALISA LYUDMILA DA COSTA-RODRIGUES
Controlled Substance Registration for Practitioner


Address: 201 Simsbury Rd, West Hartford, CT 06117-1450

ALISA LYUDMILA DA COSTA-RODRIGUES (Credential# 1442412) 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

ALISA LYUDMILA DA COSTA-RODRIGUES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066582. 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 201 Simsbury Rd, West Hartford, CT 06117-1450. The current status is active.

Basic Information

Licensee Name ALISA LYUDMILA DA COSTA-RODRIGUES
Credential ID 1442412
Credential Number CSP.0066582
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 201 Simsbury Rd
West Hartford
CT 06117-1450
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-08-12
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-09

Other licenses

ID Credential Code Credential Type Issue Term Status
1439961 12.007158 Advanced Practice Registered Nurse 2017-08-10 2020-02-01 - 2021-01-31 ACTIVE
1384707 10.139558 Registered Nurse 2017-01-03 2020-02-01 - 2021-01-31 ACTIVE
1384806 10.137982-TEMP Registered Nurse - Temporary 2016-10-18 2016-10-18 - 2017-02-14 INACTIVE

Office Location

Street Address 201 SIMSBURY RD
City WEST HARTFORD
State CT
Zip Code 06117-1450

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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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