MICHELLE S WANSKY APRN
Controlled Substance Registration for Practitioner


Address: 4709 Longcourt Dr Se, Smyrna, GA 30080-7196

MICHELLE S WANSKY APRN (Credential# 373758) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 20, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

MICHELLE S WANSKY APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035148. The credential type is controlled substance registration for practitioner. The effective date is April 20, 2007. The expiration date is February 29, 2008. The business address is 4709 Longcourt Dr Se, Smyrna, GA 30080-7196. The current status is inactive.

Basic Information

Licensee Name MICHELLE S WANSKY APRN
Credential ID 373758
Credential Number CSP.0035148
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4709 Longcourt Dr Se
Smyrna
GA 30080-7196
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-06-22
Effective Date 2007-04-20
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
568744 10.064735 Registered Nurse 2000-10-23 2007-04-27 - 2008-01-31 INACTIVE
681046 12.002868 Advanced Practice Registered Nurse 2003-04-23 2007-04-30 - 2008-01-31 INACTIVE

Office Location

Street Address 4709 LONGCOURT DR SE
City SMYRNA
State GA
Zip Code 30080-7196

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Competitor

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City SMYRNA
Zip Code 30080
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SMYRNA

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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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