ALICIA C POTES PA
Controlled Substance Registration for Practitioner


Address: 18 Rose Ln Apt 5, Danbury, CT 06811-3758

ALICIA C POTES PA (Credential# 485122) 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

ALICIA C POTES PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042726. 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 18 Rose Ln Apt 5, Danbury, CT 06811-3758. The current status is inactive.

Basic Information

Licensee Name ALICIA C POTES PA
Credential ID 485122
Credential Number CSP.0042726
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 18 Rose Ln Apt 5
Danbury
CT 06811-3758
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-10-16
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
743665 23.001916 Physician Assistant 2007-06-26 2009-10-01 - 2010-09-30 INACTIVE

Office Location

Street Address 18 ROSE LN APT 5
City DANBURY
State CT
Zip Code 06811-3758

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Competitor

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City DANBURY
Zip Code 06811
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DANBURY

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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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