DIANE M PAQUETTE APRN
Controlled Substance Registration for Practitioner


Address: 127 Scotland Rd, Madison, CT 06443

DIANE M PAQUETTE APRN (Credential# 378872) 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

DIANE M PAQUETTE APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035630. 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 127 Scotland Rd, Madison, CT 06443. The current status is active.

Basic Information

Licensee Name DIANE M PAQUETTE APRN
Credential ID 378872
Credential Number CSP.0035630
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 127 Scotland Rd
Madison
CT 06443
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-08-17
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-25

Other licenses

ID Credential Code Credential Type Issue Term Status
609754 10.E38802 Registered Nurse 1976-09-10 2019-10-01 - 2020-09-30 ACTIVE
679259 12.001078 Advanced Practice Registered Nurse 1995-02-03 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 127 SCOTLAND RD
City MADISON
State CT
Zip Code 06443

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Competitor

Search similar business entities

City MADISON
Zip Code 06443
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MADISON

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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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