ANGELA L SMITH DO
Controlled Substance Registration for Practitioner


Address: 138 Somersby Way, Farmington, CT 06032

ANGELA L SMITH DO (Credential# 428985) 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

ANGELA L SMITH DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038809. 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 138 Somersby Way, Farmington, CT 06032. The current status is active.

Basic Information

Licensee Name ANGELA L SMITH DO
Credential ID 428985
Credential Number CSP.0038809
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 138 Somersby Way
Farmington
CT 06032
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2006-02-17
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
561627 1.044045-DO Physician/Surgeon 2006-01-27 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 138 SOMERSBY WAY
City FARMINGTON
State CT
Zip Code 06032

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Competitor

Search similar business entities

City FARMINGTON
Zip Code 06032
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

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Angela Santiago 282 Washington St, Hartford, CT 06106 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
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Angela L Aldam Md 39 Joshua Dr, W Simsbury, CT 06092 Controlled Substance Registration for Practitioner 2006-03-01 ~ 2007-02-28
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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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