CHRISTINE A COUTURE
Controlled Substance Registration for Practitioner


Address: 179 Old Toll Rd, Madison, CT 06443-1768

CHRISTINE A COUTURE (Credential# 319410) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

CHRISTINE A COUTURE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032750. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 179 Old Toll Rd, Madison, CT 06443-1768. The current status is active.

Basic Information

Licensee Name CHRISTINE A COUTURE
Credential ID 319410
Credential Number CSP.0032750
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 179 Old Toll Rd
Madison
CT 06443-1768
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2002-10-11
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
742992 23.001243 Physician Assistant 2002-10-09 2020-01-01 - 2020-12-31 ACTIVE
839899 70.000162 Emergency Medical Technician 2000-03-06 2000-03-06 - 2000-12-31 INACTIVE

Office Location

Street Address 179 OLD TOLL RD
City MADISON
State CT
Zip Code 06443-1768

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Competitor

Search similar business entities

City MADISON
Zip Code 06443
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MADISON

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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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