SUSANNE W CARMACK
Controlled Substance Registration for Practitioner


Address: 91 Lexington St, Hamden, CT 06514

SUSANNE W CARMACK (Credential# 380837) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

SUSANNE W CARMACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036173. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 91 Lexington St, Hamden, CT 06514. The current status is inactive.

Basic Information

Licensee Name SUSANNE W CARMACK
Credential ID 380837
Credential Number CSP.0036173
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 91 Lexington St
Hamden
CT 06514
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-09-29
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Office Location

Street Address 91 LEXINGTON ST
City HAMDEN
State CT
Zip Code 06514

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Competitor

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City HAMDEN
Zip Code 06514
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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Susanne Harris Pa 1700 Little Meadow Rd, Guilford, CT 06437 Controlled Substance Registration for Practitioner 1993-10-26 ~ 1995-10-01
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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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