LISA S SPINK
Controlled Substance Registration for Practitioner


Address: 64 Avonwood Rd Apt B#6, Avon, CT 06001

LISA S SPINK (Credential# 445834) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

LISA S SPINK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039703. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 64 Avonwood Rd Apt B#6, Avon, CT 06001. The current status is inactive.

Basic Information

Licensee Name LISA S SPINK
Credential ID 445834
Credential Number CSP.0039703
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 64 Avonwood Rd Apt B#6
Avon
CT 06001
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-07-31
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Office Location

Street Address 64 AVONWOOD RD APT B#6
City AVON
State CT
Zip Code 06001

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Competitor

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City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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Lisa C Gamache 20 Harris St, Pittsfield, MA 01201 Controlled Substance Registration for Practitioner 1994-09-07 ~ 1996-09-01
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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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