SHAUNA M RAFFERTY
Controlled Substance Registration for Practitioner


Address: 45 Exeter Ave, West Hartford, CT 06110-1212

SHAUNA M RAFFERTY (Credential# 2017311) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 13, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

SHAUNA M RAFFERTY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073362. The credential type is controlled substance registration for practitioner. The effective date is March 13, 2020. The expiration date is February 28, 2021. The business address is 45 Exeter Ave, West Hartford, CT 06110-1212. The current status is active.

Basic Information

Licensee Name SHAUNA M RAFFERTY
Credential ID 2017311
Credential Number CSP.0073362
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 45 Exeter Ave
West Hartford
CT 06110-1212
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-03-13
Effective Date 2020-03-13
Expiration Date 2021-02-28
Refresh Date 2020-03-27

Other licenses

ID Credential Code Credential Type Issue Term Status
2007015 12.008750 Advanced Practice Registered Nurse 2020-03-03 2020-03-03 - 2020-06-30 ACTIVE
1223167 10.120762 Registered Nurse 2014-07-30 2019-07-01 - 2020-06-30 ACTIVE

Office Location

Street Address 45 EXETER AVE
City WEST HARTFORD
State CT
Zip Code 06110-1212

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Licensee Name Office Address Credential Effective / Expiration
Jose Schaffino IIi 23 Exeter Avenue, West Hartford, CT 06110-1212 Emergency Medical Responder 2008-04-24 ~ 2010-04-01

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Competitor

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City WEST HARTFORD
Zip Code 06110
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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Shauna R Schroeder 2214 Avalon Haven Dr, North Haven, CT 06473-1633 Controlled Substance Registration for Practitioner 2009-03-02 ~ 2011-02-28
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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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