ANGELICA P CRUZ APRN
Controlled Substance Registration for Practitioner


Address: 53 Sigwin Dr, Wallingford, CT 06492-4844

ANGELICA P CRUZ APRN (Credential# 530267) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 23, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

ANGELICA P CRUZ APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045392. The credential type is controlled substance registration for practitioner. The effective date is April 23, 2009. The expiration date is February 28, 2011. The business address is 53 Sigwin Dr, Wallingford, CT 06492-4844. The current status is inactive.

Basic Information

Licensee Name ANGELICA P CRUZ APRN
Credential ID 530267
Credential Number CSP.0045392
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 53 Sigwin Dr
Wallingford
CT 06492-4844
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-04-23
Effective Date 2009-04-23
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
653234 10.R53490 Registered Nurse 1996-11-22 2009-04-13 - 2010-05-31 INACTIVE
682241 12.004063 Advanced Practice Registered Nurse 2009-03-30 2009-04-24 - 2010-05-31 INACTIVE

Office Location

Street Address 53 SIGWIN DR
City WALLINGFORD
State CT
Zip Code 06492-4844

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Competitor

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City WALLINGFORD
Zip Code 06492
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALLINGFORD

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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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