LEINA G FRUHBAUER
Controlled Substance Registration for Practitioner


Address: 216 Old Waterbury Road, Southbury, CT 06488

LEINA G FRUHBAUER (Credential# 1517101) 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

LEINA G FRUHBAUER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068250. 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 216 Old Waterbury Road, Southbury, CT 06488. The current status is active.

Basic Information

Licensee Name LEINA G FRUHBAUER
Credential ID 1517101
Credential Number CSP.0068250
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 216 Old Waterbury Road
Southbury
CT 06488
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-05-23
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1513282 12.007578 Advanced Practice Registered Nurse 2018-05-22 2019-10-01 - 2020-09-30 ACTIVE
1074156 10.107989 Registered Nurse 2012-09-04 2019-10-01 - 2020-09-30 ACTIVE
1075960 10.105890-TEMP Registered Nurse - Temporary 2012-06-08 2012-06-08 - 2012-10-06 INACTIVE

Office Location

Street Address 216 Old Waterbury Road
City Southbury
State CT
Zip Code 06488

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Competitor

Search similar business entities

City Southbury
Zip Code 06488
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Southbury

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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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