DIANE HOLLAND PUPPOLO APRN
Controlled Substance Registration for Practitioner


Address: 14 Crown Ridge, Newington, CT 06111

DIANE HOLLAND PUPPOLO APRN (Credential# 162868) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

DIANE HOLLAND PUPPOLO APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021882. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 14 Crown Ridge, Newington, CT 06111. The current status is lapsed.

Basic Information

Licensee Name DIANE HOLLAND PUPPOLO APRN
Credential ID 162868
Credential Number CSP.0021882
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 14 Crown Ridge
Newington
CT 06111
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 1999-03-01
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Office Location

Street Address 14 CROWN RIDGE
City NEWINGTON
State CT
Zip Code 06111

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Competitor

Search similar business entities

City NEWINGTON
Zip Code 06111
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWINGTON

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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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