JANE M O'BRIEN APRN
Controlled Substance Registration for Practitioner


Address: 44 Old Nursery Dr, Wilton, CT 06897

JANE M O'BRIEN APRN (Credential# 356405) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

JANE M O'BRIEN APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034375. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 44 Old Nursery Dr, Wilton, CT 06897. The current status is inactive.

Basic Information

Licensee Name JANE M O'BRIEN APRN
Credential ID 356405
Credential Number CSP.0034375
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 44 Old Nursery Dr
Wilton
CT 06897
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
679654 12.001475 Advanced Practice Registered Nurse 1996-11-15 2011-10-01 - 2012-09-30 INACTIVE
781340 58.003175 Licensed Clinical Social Worker 1994-09-09 2011-10-01 - 2012-09-30 INACTIVE
750001 27.000529 Marital and Family Therapist 1994-12-21 2011-10-01 - 2012-09-30 INACTIVE
634665 10.R22843 Registered Nurse 1971-01-26 2011-10-01 - 2012-09-30 INACTIVE

Office Location

Street Address 44 OLD NURSERY DR
City WILTON
State CT
Zip Code 06897

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Neelam Narula 11 Glen Ridge, Wilton, CT 06897 Advanced Practice Registered Nurse 2020-09-01 ~ 2021-08-31
Katherine S Lewis 43 Antler Lane, Wilton, CT 06897 Registered Nurse 2020-08-01 ~ 2021-07-31
Steven Phillips 944 Danbury Rd, Wilton, CT 06897 Physician/surgeon 2020-08-01 ~ 2021-07-31
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Susan Lee 200 Danbury Road, Apt 5, Wilton, CT 06897 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
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Competitor

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City WILTON
Zip Code 06897
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILTON

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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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