PATRICIA J DAVIS APRN
Controlled Substance Registration for Practitioner


Address: 20 Village Dr, Wolcott, CT 06716

PATRICIA J DAVIS APRN (Credential# 227115) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 19, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

PATRICIA J DAVIS APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029146. The credential type is controlled substance registration for practitioner. The effective date is April 19, 2017. The expiration date is February 28, 2019. The business address is 20 Village Dr, Wolcott, CT 06716. The current status is lapsed.

Basic Information

Licensee Name PATRICIA J DAVIS APRN
Credential ID 227115
Credential Number CSP.0029146
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 20 Village Dr
Wolcott
CT 06716
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2000-01-24
Effective Date 2017-04-19
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
680381 12.002203 Advanced Practice Registered Nurse 1999-12-16 2017-04-01 - 2018-03-31 INACTIVE
618701 10.E49414 Registered Nurse 1986-09-17 2017-04-01 - 2018-03-31 INACTIVE

Office Location

Street Address 20 VILLAGE DR
City WOLCOTT
State CT
Zip Code 06716

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Alayna Jean Freer 5 Evas Terrace, Wolcott, CT 06716 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City WOLCOTT
Zip Code 06716
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOLCOTT

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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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