DEBRA B HERNANDEZ APRN
Controlled Substance Registration for Practitioner


Address: Po Box 831, North Haven, CT 06473-0831

DEBRA B HERNANDEZ APRN (Credential# 421379) 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

DEBRA B HERNANDEZ APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038535. 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 Po Box 831, North Haven, CT 06473-0831. The current status is active.

Basic Information

Licensee Name DEBRA B HERNANDEZ APRN
Credential ID 421379
Credential Number CSP.0038535
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Po Box 831
North Haven
CT 06473-0831
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-11-09
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
614239 10.E44269 Registered Nurse 1981-09-14 2020-02-01 - 2021-01-31 ACTIVE
681501 12.003323 Advanced Practice Registered Nurse 2005-10-26 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address PO BOX 831
City NORTH HAVEN
State CT
Zip Code 06473-0831

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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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