ROSA E HYATT
Controlled Substance Registration for Practitioner


Address: 216 Glenwood Avenue, New London, CT 06320

ROSA E HYATT (Credential# 155432) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 20, 1994. The license expiration date date is October 1, 1996. The license status is INACTIVE.

Business Overview

ROSA E HYATT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015252. The credential type is controlled substance registration for practitioner. The effective date is September 20, 1994. The expiration date is October 1, 1996. The business address is 216 Glenwood Avenue, New London, CT 06320. The current status is inactive.

Basic Information

Licensee Name ROSA E HYATT
Credential ID 155432
Credential Number CSP.0015252
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 216 Glenwood Avenue
New London
CT 06320
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-09-20
Expiration Date 1996-10-01
Refresh Date 2005-12-15

Other licenses

ID Credential Code Credential Type Issue Term Status
547059 1.028248 Physician/Surgeon 1987-07-01 1994-12-12 - 1995-12-31 INACTIVE

Office Location

Street Address 216 GLENWOOD AVENUE
City NEW LONDON
State CT
Zip Code 06320

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Competitor

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City NEW LONDON
Zip Code 06320
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW LONDON

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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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