WILLIAM R HENDRIXSON APRN
Controlled Substance Registration for Practitioner


Address: 140 Allison Way, East Haven, CT 06512-6006

WILLIAM R HENDRIXSON APRN (Credential# 187937) 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

WILLIAM R HENDRIXSON APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026228. 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 140 Allison Way, East Haven, CT 06512-6006. The current status is lapsed.

Basic Information

Licensee Name WILLIAM R HENDRIXSON APRN
Credential ID 187937
Credential Number CSP.0026228
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 140 Allison Way
East Haven
CT 06512-6006
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

Other licenses

ID Credential Code Credential Type Issue Term Status
679848 12.001669 Advanced Practice Registered Nurse 1997-10-03 2017-03-01 - 2018-02-28 INACTIVE
627610 10.E58710 Registered Nurse 1996-07-05 2017-03-01 - 2018-02-28 INACTIVE

Office Location

Street Address 140 ALLISON WAY
City EAST HAVEN
State CT
Zip Code 06512-6006

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Competitor

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City EAST HAVEN
Zip Code 06512
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST HAVEN

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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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