KAITLIN NOELLE ERICKSON
Controlled Substance Registration for Practitioner


Address: 243 Steele Rd Apt 226, West Hartford, CT 06117-1721

KAITLIN NOELLE ERICKSON (Credential# 1677305) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 22, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

KAITLIN NOELLE ERICKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072015. The credential type is controlled substance registration for practitioner. The effective date is July 22, 2019. The expiration date is February 28, 2021. The business address is 243 Steele Rd Apt 226, West Hartford, CT 06117-1721. The current status is active.

Basic Information

Licensee Name KAITLIN NOELLE ERICKSON
Credential ID 1677305
Credential Number CSP.0072015
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 243 Steele Rd Apt 226
West Hartford
CT 06117-1721
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-07-22
Effective Date 2019-07-22
Expiration Date 2021-02-28
Refresh Date 2019-07-22

Other licenses

ID Credential Code Credential Type Issue Term Status
1438844 10.144837 Registered Nurse 2017-09-11 2020-01-01 - 2020-12-31 ACTIVE
1670186 12.008331 Advanced Practice Registered Nurse 2019-07-22 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 243 STEELE RD APT 226
City WEST HARTFORD
State CT
Zip Code 06117-1721

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Jennifer B Guerin 243 Steele Rd Apt 220, West Hartford, CT 06117-1721 Physician Assistant 2020-07-01 ~ 2021-06-30
Steven J Escaravage 243 Steele Rd Apt 212, West Hartford, CT 06117-1721 Physician Assistant 2020-03-01 ~ 2021-02-28

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Competitor

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City WEST HARTFORD
Zip Code 06117
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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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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