PENNY D CHIASSON APRN
Controlled Substance Registration for Practitioner


Address: 11 Waverly Ave, Portland, CT 06480

PENNY D CHIASSON APRN (Credential# 438047) 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

PENNY D CHIASSON APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039153. 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 11 Waverly Ave, Portland, CT 06480. The current status is inactive.

Basic Information

Licensee Name PENNY D CHIASSON APRN
Credential ID 438047
Credential Number CSP.0039153
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 11 Waverly Ave
Portland
CT 06480
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-05-15
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
651742 10.R51996 Registered Nurse 1995-12-01 2015-04-01 - 2016-03-31 INACTIVE
681566 12.003388 Advanced Practice Registered Nurse 2006-03-20 2015-04-01 - 2016-03-31 INACTIVE

Office Location

Street Address 11 WAVERLY AVE
City PORTLAND
State CT
Zip Code 06480

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Elizabeth A Deyoung 11 Waverly Ave, Portland, CT 06480 Registered Nurse 2019-09-01 ~ 2020-08-31
Andrew S Chiasson 11 Waverly Ave, Portland, CT 06480-1841 Pharmacy Technician 2010-04-01 ~ 2011-03-31

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Kevin R Johnson 20 Mountain Laurel Way, Portland, CT 06480 Landscape Architect 2020-08-01 ~ 2021-07-31
Aaron A Adams 138 High Street, Portland, CT 06480 Licensed Practical Nurse 2020-06-01 ~ 2021-05-31
Amanda R. Weinberger 270 Main St. Suite A, Portland, CT 06480 Advanced Practice Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

Search similar business entities

City PORTLAND
Zip Code 06480
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PORTLAND

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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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