KIMBERLY A GEORGE PA
Controlled Substance Registration for Practitioner


Address: 88 Ridgefield Dr, Middletown, CT 06457-6540

KIMBERLY A GEORGE PA (Credential# 513351) 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

KIMBERLY A GEORGE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044532. 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 88 Ridgefield Dr, Middletown, CT 06457-6540. The current status is inactive.

Basic Information

Licensee Name KIMBERLY A GEORGE PA
Credential ID 513351
Credential Number CSP.0044532
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 88 Ridgefield Dr
Middletown
CT 06457-6540
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-09-30
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
743922 23.002173 Physician Assistant 2008-09-26 2010-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 88 RIDGEFIELD DR
City MIDDLETOWN
State CT
Zip Code 06457-6540

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Competitor

Search similar business entities

City MIDDLETOWN
Zip Code 06457
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN

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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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