MARY LOU BALL APRN
Controlled Substance Registration for Practitioner


Address: 875 Wilmette Ave #712, Ormond Beach, FL 32174

MARY LOU BALL APRN (Credential# 162216) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.

Business Overview

MARY LOU BALL APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022658. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1999. The expiration date is February 28, 2000. The business address is 875 Wilmette Ave #712, Ormond Beach, FL 32174. The current status is inactive.

Basic Information

Licensee Name MARY LOU BALL APRN
Credential ID 162216
Credential Number CSP.0022658
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 875 Wilmette Ave #712
Ormond Beach
FL 32174
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1999-03-01
Expiration Date 2000-02-28
Refresh Date 2009-01-26

Office Location

Street Address 875 WILMETTE AVE #712
City ORMOND BEACH
State FL
Zip Code 32174

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Competitor

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City ORMOND BEACH
Zip Code 32174
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ORMOND BEACH

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William H Ball Aprn 875 Wilmette Avenue, Ormond Beach, FL 32174 Controlled Substance Registration for Practitioner 1998-03-01 ~ 1999-02-28
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Mary E Bartlett Aprn 23 Southwest Rd, Waterbury, CT 06708 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Mary B Kruckas Aprn 628 Valley Rd, Dayville, CT 06241 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Mary C Young Aprn 306 Russell St, Middletown, CT 06457 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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