MICHELLE L ERICKSON
Controlled Substance Registration for Practitioner


Address: 5 Hemingway Rd, North Haven, CT 06473

MICHELLE L ERICKSON (Credential# 380765) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 7, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

MICHELLE L ERICKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036121. The credential type is controlled substance registration for practitioner. The effective date is March 7, 2008. The expiration date is February 28, 2009. The business address is 5 Hemingway Rd, North Haven, CT 06473. The current status is inactive.

Basic Information

Licensee Name MICHELLE L ERICKSON
Credential ID 380765
Credential Number CSP.0036121
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5 Hemingway Rd
North Haven
CT 06473
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-09-27
Effective Date 2008-03-07
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
380762 CSP.0036119 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER - INACTIVE
380763 CSP.0036120 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER - INACTIVE

Office Location

Street Address 5 HEMINGWAY RD
City NORTH HAVEN
State CT
Zip Code 06473

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Competitor

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City NORTH HAVEN
Zip Code 06473
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH HAVEN

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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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