STEPHANIE NOEL MORTON
Controlled Substance Registration for Practitioner


Address: 1 Proctor Pl Apt 1, Providence, RI 02906-1619

STEPHANIE NOEL MORTON (Credential# 2020453) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 24, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

STEPHANIE NOEL MORTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073415. The credential type is controlled substance registration for practitioner. The effective date is March 24, 2020. The expiration date is February 28, 2021. The business address is 1 Proctor Pl Apt 1, Providence, RI 02906-1619. The current status is active.

Basic Information

Licensee Name STEPHANIE NOEL MORTON
Credential ID 2020453
Credential Number CSP.0073415
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1 Proctor Pl Apt 1
Providence
RI 02906-1619
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-03-24
Effective Date 2020-03-24
Expiration Date 2021-02-28
Refresh Date 2020-03-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1992057 1.064892 Physician/Surgeon 2020-02-20 2020-02-20 - 2020-12-31 ACTIVE

Office Location

Street Address 1 PROCTOR PL APT 1
City PROVIDENCE
State RI
Zip Code 02906-1619

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Susan Dickstein 196 Freeman Parkway, Providence, RI 02906 Psychologist 2020-07-01 ~ 2021-06-30
Victoria S Karlsen 415 Angell St, Providence, RI 02906 Behavior Analyst ~
John W O'bell Md 14 Rose Ct., Providence, RI 02906 Physician/surgeon 2020-06-01 ~ 2021-05-31
Alexandria Hanul Simon 323 Angell Street, Providence, RI 02906 Emergency Medical Technician ~
Molly A Moran 202 Sixth Street, Providence, RI 02906 Advanced Practice Registered Nurse 2020-06-01 ~ 2021-05-31
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Competitor

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City PROVIDENCE
Zip Code 02906
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PROVIDENCE

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Morton F Reiser Md 200 Todd St, Hamden, CT 06518 Controlled Substance Registration for Practitioner 2003-03-01 ~ 2004-02-28
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Noel S J Wheeler Md 9 Woodcrest Ave, Trumbull, CT 06611 Controlled Substance Registration for Practitioner 2004-02-29 ~ 2005-02-28
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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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