IFEYINWA BERNICE OBI LNM
Controlled Substance Registration for Practitioner


Address: 10 Hawthorne Ave, Derby, CT 06418

IFEYINWA BERNICE OBI LNM (Credential# 947083) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

IFEYINWA BERNICE OBI LNM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048442. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 10 Hawthorne Ave, Derby, CT 06418. The current status is inactive.

Basic Information

Licensee Name IFEYINWA BERNICE OBI LNM
Credential ID 947083
Credential Number CSP.0048442
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 10 Hawthorne Ave
Derby
CT 06418
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-08-27
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
947331 16.000343 Licensed Nurse Midwife 2010-08-13 2014-02-01 - 2015-01-31 INACTIVE
947239 10.095584 Registered Nurse 2010-08-06 2014-02-01 - 2015-01-31 INACTIVE

Office Location

Street Address 10 Hawthorne ave
City Derby
State CT
Zip Code 06418

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Competitor

Search similar business entities

City Derby
Zip Code 06418
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Derby

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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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