LAURIE A MILLER MD
Controlled Substance Registration for Practitioner


Address: 21 Pleasant Dr Ext, Niantic, CT 06357

LAURIE A MILLER MD (Credential# 371277) 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

LAURIE A MILLER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034965. 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 21 Pleasant Dr Ext, Niantic, CT 06357. The current status is inactive.

Basic Information

Licensee Name LAURIE A MILLER MD
Credential ID 371277
Credential Number CSP.0034965
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 21 Pleasant Dr Ext
Niantic
CT 06357
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-05-25
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
559945 1.042363 Physician/Surgeon 2004-04-26 2009-01-02 - 2010-02-28 INACTIVE

Office Location

Street Address 21 PLEASANT DR EXT
City NIANTIC
State CT
Zip Code 06357

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Kolby C Vaughan Pa-c 21 Pleasant Dr Ext, Niantic, CT 06357 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28

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Maxwell V Nucci 70 Smith St, Niantic, CT 06357 Public Weigher 2020-07-01 ~ 2021-06-30
Virada Lackey 22 Sunnie Side Drive, Niantic, CT 06357 Real Estate Salesperson ~
Niantic Cinema Corp 279 Main St, Niantic, CT 06357 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Olivia M Blodgett 30 Lake Ave, Niantic, CT 06357 Registered Nurse 2020-07-01 ~ 2021-06-30
Katherine S Kleczkowski P.o. Box 281, Niantic, CT 06357 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
Robert W Cunningham 9 South Rd., Niantic, CT 06357 Distribution System Operator - Class II 2020-04-01 ~ 2023-03-31
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Competitor

Search similar business entities

City NIANTIC
Zip Code 06357
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NIANTIC

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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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