PATRICIA MASOPUST APRN
Controlled Substance Registration for Practitioner


Address: Po Box 231, Windham, CT 06280

PATRICIA MASOPUST APRN (Credential# 164557) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

PATRICIA MASOPUST APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022340. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is Po Box 231, Windham, CT 06280. The current status is inactive.

Basic Information

Licensee Name PATRICIA MASOPUST APRN
Credential ID 164557
Credential Number CSP.0022340
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Po Box 231
Windham
CT 06280
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-05-13
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Office Location

Street Address PO BOX 231
City WINDHAM
State CT
Zip Code 06280

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Competitor

Search similar business entities

City WINDHAM
Zip Code 06280
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WINDHAM

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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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