IRENE MILLER APRN
Controlled Substance Registration for Practitioner


Address: 4 Wyckford Ln, Old Lyme, CT 06371-1493

IRENE MILLER APRN (Credential# 162457) 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

IRENE MILLER APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022712. 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 4 Wyckford Ln, Old Lyme, CT 06371-1493. The current status is active.

Basic Information

Licensee Name IRENE MILLER APRN
Credential ID 162457
Credential Number CSP.0022712
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4 Wyckford Ln
Old Lyme
CT 06371-1493
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-26
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-07-15

Office Location

Street Address 4 WYCKFORD LN
City OLD LYME
State CT
Zip Code 06371-1493

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
E Russell Learned 82 Norwich-salem Rd, Lyme, CT 06371 Architect 2020-08-01 ~ 2021-07-31
Joann M Reis 75 Swan Ave, Old Lyme, CT 06371 Registered Nurse 2020-09-01 ~ 2021-08-31
Michele K Griswold 7 Osprey Road, Old Lyme, CT 06371 Registered Nurse 2020-07-01 ~ 2021-06-30
Brenda A Moriarty 53 Brown's Lane, Old Lyme, CT 06371 Registered Nurse 2020-07-01 ~ 2021-06-30
Olaf J Ogland 17 Jericho Drive, Old Lyme, CT 06371 Physician/surgeon 2020-08-01 ~ 2021-07-31
Anne Burns 60 Saltaire Drive, Old Lyme, CT 06371 Registered Nurse 2020-08-01 ~ 2021-07-31
Lori A Volles 67 Sterling Hill Rd, Lyme, CT 06371 Physician/surgeon 2020-07-01 ~ 2021-06-30
Derek J Lachance 7 Sunset Drive, Old Lyme, CT 06371 Registered Nurse 2020-07-01 ~ 2021-06-30
Vincenzo Jerome Marafito 14-1 Bailey Rd, Old Lyme, CT 06371 Master's Level Social Worker ~
All Pro Automotive 147 Boston Post Rd, Old Lyme, CT 06371 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
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Competitor

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City OLD LYME
Zip Code 06371
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OLD LYME

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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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