DOROTHEA V SMITH APRN
Controlled Substance Registration for Practitioner


Address: 258 Harbor St, Branford, CT 06405

DOROTHEA V SMITH APRN (Credential# 378168) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

DOROTHEA V SMITH APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035561. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 258 Harbor St, Branford, CT 06405. The current status is active.

Basic Information

Licensee Name DOROTHEA V SMITH APRN
Credential ID 378168
Credential Number CSP.0035561
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 258 Harbor St
Branford
CT 06405
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-08-03
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-13

Other licenses

ID Credential Code Credential Type Issue Term Status
681068 12.002890 Advanced Practice Registered Nurse 2003-07-24 2019-10-01 - 2020-09-30 ACTIVE
575188 10.071182 Registered Nurse 2003-06-02 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 258 HARBOR ST
City BRANFORD
State CT
Zip Code 06405

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Competitor

Search similar business entities

City BRANFORD
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD

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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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