CONSTANCE R HILLER
Controlled Substance Registration for Practitioner


Address: 3 Jeffrey Lane, Brookfield, CT 06804

CONSTANCE R HILLER (Credential# 157333) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 9, 1994. The license expiration date date is October 1, 1996. The license status is INACTIVE.

Business Overview

CONSTANCE R HILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016688. The credential type is controlled substance registration for practitioner. The effective date is September 9, 1994. The expiration date is October 1, 1996. The business address is 3 Jeffrey Lane, Brookfield, CT 06804. The current status is inactive.

Basic Information

Licensee Name CONSTANCE R HILLER
Credential ID 157333
Credential Number CSP.0016688
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3 Jeffrey Lane
Brookfield
CT 06804
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-09-09
Expiration Date 1996-10-01
Refresh Date 2005-12-15

Other licenses

ID Credential Code Credential Type Issue Term Status
547825 1.029499 Physician/Surgeon 1988-09-30 1994-04-19 - 1995-03-31 INACTIVE

Office Location

Street Address 3 JEFFREY LANE
City BROOKFIELD
State CT
Zip Code 06804

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Competitor

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City BROOKFIELD
Zip Code 06804
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKFIELD

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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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