ELISE A KUSSELOW APRN
Controlled Substance Registration for Practitioner


Address: 1 Ferdinand St, Stoneham, MA 02180

ELISE A KUSSELOW APRN (Credential# 352295) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

ELISE A KUSSELOW APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034140. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 1 Ferdinand St, Stoneham, MA 02180. The current status is inactive.

Basic Information

Licensee Name ELISE A KUSSELOW APRN
Credential ID 352295
Credential Number CSP.0034140
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1 Ferdinand St
Stoneham
MA 02180
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
570043 10.066036 Registered Nurse 2001-06-25 2008-04-24 - 2009-05-31 INACTIVE
681102 12.002924 Advanced Practice Registered Nurse 2003-08-26 2008-04-24 - 2009-05-31 INACTIVE

Office Location

Street Address 1 FERDINAND ST
City STONEHAM
State MA
Zip Code 02180

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Competitor

Search similar business entities

City STONEHAM
Zip Code 02180
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STONEHAM

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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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