ELEANOR M FENTON APRN
Controlled Substance Registration for Practitioner


Address: 2-c Jamie Ln, Manchester, CT 06040

ELEANOR M FENTON APRN (Credential# 160171) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 31, 1993. The license expiration date date is September 1, 1995. The license status is INACTIVE.

Business Overview

ELEANOR M FENTON APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019419. The credential type is controlled substance registration for practitioner. The effective date is August 31, 1993. The expiration date is September 1, 1995. The business address is 2-c Jamie Ln, Manchester, CT 06040. The current status is inactive.

Basic Information

Licensee Name ELEANOR M FENTON APRN
Credential ID 160171
Credential Number CSP.0019419
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2-c Jamie Ln
Manchester
CT 06040
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1993-08-31
Expiration Date 1995-09-01
Refresh Date 2004-04-23

Office Location

Street Address 2-C JAMIE LN
City MANCHESTER
State CT
Zip Code 06040

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Competitor

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City MANCHESTER
Zip Code 06040
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER

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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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