GENEVIEVE C O'CONNELL
Controlled Substance Registration for Practitioner


Address: 11 Brookfield Ct, Cheshire, CT 06410-4303

GENEVIEVE C O'CONNELL (Credential# 144438) 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

GENEVIEVE C O'CONNELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011387. 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 11 Brookfield Ct, Cheshire, CT 06410-4303. The current status is active.

Basic Information

Licensee Name GENEVIEVE C O'CONNELL
Credential ID 144438
Credential Number CSP.0011387
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 11 Brookfield Ct
Cheshire
CT 06410-4303
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
544801 1.023893 Physician/Surgeon 1982-08-23 2019-08-01 - 2020-07-31 ACTIVE

Office Location

Street Address 11 BROOKFIELD CT
City CHESHIRE
State CT
Zip Code 06410-4303

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Competitor

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City CHESHIRE
Zip Code 06410
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESHIRE

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Genevieve Mack Aprn 180 West Rock Avenue, New Haven, CT 06515 Controlled Substance Registration for Practitioner 2002-03-14 ~ 2003-02-28
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Steven G R Connell Pa Po Box 5828, Bay Shore, NY 11706-0862 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
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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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