ESRA ANSON APRN
Controlled Substance Registration for Practitioner


Address: 26 Mimosa Ln, Shelton, CT 06484-2043

ESRA ANSON APRN (Credential# 436400) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

ESRA ANSON APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039075. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 26 Mimosa Ln, Shelton, CT 06484-2043. The current status is inactive.

Basic Information

Licensee Name ESRA ANSON APRN
Credential ID 436400
Credential Number CSP.0039075
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 26 Mimosa Ln
Shelton
CT 06484-2043
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-04-28
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
681575 12.003397 Advanced Practice Registered Nurse 2006-04-03 2015-05-01 - 2016-04-30 INACTIVE
570402 10.066395 Registered Nurse 2001-07-30 2015-05-01 - 2016-04-30 INACTIVE

Office Location

Street Address 26 MIMOSA LN
City SHELTON
State CT
Zip Code 06484-2043

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Competitor

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City SHELTON
Zip Code 06484
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHELTON

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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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