NATASHA A LARSON
Controlled Substance Registration for Practitioner


Address: 37 Maplewood Avenue, 3rd Floor, West Hartford, CT 06107

NATASHA A LARSON (Credential# 888457) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 10, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

NATASHA A LARSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046120. The credential type is controlled substance registration for practitioner. The effective date is August 10, 2009. The expiration date is February 28, 2011. The business address is 37 Maplewood Avenue, 3rd Floor, West Hartford, CT 06107. The current status is inactive.

Basic Information

Licensee Name NATASHA A LARSON
Credential ID 888457
Credential Number CSP.0046120
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 37 Maplewood Avenue, 3rd Floor
West Hartford
CT 06107
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-08-10
Effective Date 2009-08-10
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
704519 2.010067 Dentist 2009-07-01 2009-07-01 - 2010-06-30 INACTIVE

Office Location

Street Address 37 Maplewood Avenue, 3rd Floor
City West Hartford
State CT
Zip Code 06107

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Competitor

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City West Hartford
Zip Code 06107
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + West Hartford

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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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