ROBERT BANAS APRN
Controlled Substance Registration for Practitioner


Address: 4 Nauyaug Rd North, Mystic, CT 06355

ROBERT BANAS APRN (Credential# 328162) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

ROBERT BANAS APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033024. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 4 Nauyaug Rd North, Mystic, CT 06355. The current status is inactive.

Basic Information

Licensee Name ROBERT BANAS APRN
Credential ID 328162
Credential Number CSP.0033024
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4 Nauyaug Rd North
Mystic
CT 06355
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-03-01
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
678947 12.000766 Advanced Practice Registered Nurse 1993-08-02 2015-11-01 - 2016-10-31 INACTIVE
611206 10.E40651 Registered Nurse 1978-09-15 2015-11-01 - 2016-10-31 INACTIVE

Office Location

Street Address 4 NAUYAUG RD NORTH
City MYSTIC
State CT
Zip Code 06355

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Competitor

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City MYSTIC
Zip Code 06355
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MYSTIC

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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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