NANCY W DEACKOFF
Controlled Substance Registration for Practitioner


Address: 1124 Sullivan Ave, South Windsor, CT 06074

NANCY W DEACKOFF (Credential# 161556) 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

NANCY W DEACKOFF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022527. 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 1124 Sullivan Ave, South Windsor, CT 06074. The current status is active.

Basic Information

Licensee Name NANCY W DEACKOFF
Credential ID 161556
Credential Number CSP.0022527
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1124 Sullivan Ave
South Windsor
CT 06074
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 2019-01-25

Other licenses

ID Credential Code Credential Type Issue Term Status
551347 1.033748 Physician/Surgeon 1994-05-27 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 1124 SULLIVAN AVE
City SOUTH WINDSOR
State CT
Zip Code 06074

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Jillmarie S Macaluso 230 Orchard Hill Dr, S Windsor, CT 06074 Respiratory Care Practitioner 2020-08-01 ~ 2021-07-31
Jason K Smith 854 Foster Street Ext, South Windsor, CT 06074 Professional Engineer 2020-06-26 ~ 2021-01-31
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Ashley Ann Corridori 21 Abar Lane, South Windsor, CT 06074 Physician Assistant 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City SOUTH WINDSOR
Zip Code 06074
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH WINDSOR

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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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