PAMELA P VISATHEP APRN
Controlled Substance Registration for Practitioner


Address: 89 Carriage Crossing Lane, Middletown, CT 06457

PAMELA P VISATHEP APRN (Credential# 205055) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.

Business Overview

PAMELA P VISATHEP APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027723. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2000. The expiration date is February 28, 2001. The business address is 89 Carriage Crossing Lane, Middletown, CT 06457. The current status is inactive.

Basic Information

Licensee Name PAMELA P VISATHEP APRN
Credential ID 205055
Credential Number CSP.0027723
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 89 Carriage Crossing Lane
Middletown
CT 06457
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2000-02-29
Expiration Date 2001-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
680093 12.001914 Advanced Practice Registered Nurse 1998-09-04 1999-08-24 - 2000-10-31 INACTIVE
655240 10.R55498 Registered Nurse 1998-06-19 1999-08-24 - 2000-10-31 INACTIVE

Office Location

Street Address 89 CARRIAGE CROSSING LANE
City MIDDLETOWN
State CT
Zip Code 06457

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Competitor

Search similar business entities

City MIDDLETOWN
Zip Code 06457
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN

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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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