PATRICIA O'SHEA EAGAN
Controlled Substance Registration for Practitioner


Address: 404 Pine Creek Ave, Fairfield, CT 06824

PATRICIA O'SHEA EAGAN (Credential# 160616) 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

PATRICIA O'SHEA EAGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019520. 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 404 Pine Creek Ave, Fairfield, CT 06824. The current status is active.

Basic Information

Licensee Name PATRICIA O'SHEA EAGAN
Credential ID 160616
Credential Number CSP.0019520
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 404 Pine Creek Ave
Fairfield
CT 06824
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 2019-02-06

Other licenses

ID Credential Code Credential Type Issue Term Status
538057 1.000321-DO Physician/Surgeon 1991-07-11 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 404 Pine Creek Ave
City Fairfield
State CT
Zip Code 06824

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Competitor

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City Fairfield
Zip Code 06824
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Fairfield

Similar businesses

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Patricia L Shea Pa 6 Musket Trail, Simsbury, CT 06070 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Kenneth J Eagan Dds 146 Elm St, Cheshire, CT 06410 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Kerry M Phelan 2 Shea Dr, Pawcatuck, CT 06379-2234 Controlled Substance Registration for Practitioner 2019-03-13 ~ 2021-02-28
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William P Shea IIi 78 Robeth Ln, Wethersfield, CT 06109-3552 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Peter H Shea Md 93 W Town St, Norwich, CT 06360 Controlled Substance Registration for Practitioner 2006-03-01 ~ 2007-02-28
Dana W O'shea Md 39 Cornwall Lane, Guilford, CT 06437-1669 Controlled Substance Registration for Practitioner 1994-11-15 ~ 1996-12-01
Virginia R Shea 32 Pomfret Road, Brooklyn, CT 06234-3339 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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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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