KRISTEN L PAYNE APRN
Controlled Substance Registration for Practitioner


Address: 222 Main St Pmb #122, Farmington, CT 06032

KRISTEN L PAYNE APRN (Credential# 312060) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

KRISTEN L PAYNE APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032199. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 222 Main St Pmb #122, Farmington, CT 06032. The current status is inactive.

Basic Information

Licensee Name KRISTEN L PAYNE APRN
Credential ID 312060
Credential Number CSP.0032199
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 222 Main St Pmb #122
Farmington
CT 06032
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2004-02-29
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
572441 10.068434 Registered Nurse 2002-04-04 2003-09-30 - 2004-09-30 INACTIVE
680863 12.002685 Advanced Practice Registered Nurse 2002-04-16 2003-09-30 - 2004-09-30 INACTIVE

Office Location

Street Address 222 MAIN ST PMB #122
City FARMINGTON
State CT
Zip Code 06032

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Competitor

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City FARMINGTON
Zip Code 06032
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

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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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