KEISHA B JOHNSON APRN
Controlled Substance Registration for Practitioner


Address: 40 Olga Ave, Windsor, CT 06095-4526

KEISHA B JOHNSON APRN (Credential# 914728) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

KEISHA B JOHNSON APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047260. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 40 Olga Ave, Windsor, CT 06095-4526. The current status is active.

Basic Information

Licensee Name KEISHA B JOHNSON APRN
Credential ID 914728
Credential Number CSP.0047260
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 40 Olga Ave
Windsor
CT 06095-4526
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-06-06
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-10

Other licenses

ID Credential Code Credential Type Issue Term Status
570771 10.066764 Registered Nurse 2001-08-13 2019-12-01 - 2020-11-30 ACTIVE
682184 12.004006 Advanced Practice Registered Nurse 2009-01-09 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 40 OLGA AVE
City WINDSOR
State CT
Zip Code 06095-4526

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Victor Diaz 34 Olga Ave, Windsor, CT 06095-4526 Home Improvement Contractor 2016-07-05 ~ 2016-11-30

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Competitor

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City WINDSOR
Zip Code 06095
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WINDSOR

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Keisha A Ward 54 Barbey St, Brooklyn, NY 11207-2136 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
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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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