AMANDA SHREDERS
Controlled Substance Registration for Practitioner


Address: 772 Westover Rd, Stamford, CT 06902-1329

AMANDA SHREDERS (Credential# 1024973) 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

AMANDA SHREDERS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050994. 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 772 Westover Rd, Stamford, CT 06902-1329. The current status is inactive.

Basic Information

Licensee Name AMANDA SHREDERS
Credential ID 1024973
Credential Number CSP.0050994
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 772 Westover Rd
Stamford
CT 06902-1329
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-08-12
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Office Location

Street Address 772 WESTOVER RD
City STAMFORD
State CT
Zip Code 06902-1329

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Competitor

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City STAMFORD
Zip Code 06902
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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Amanda E Lefkowitz Md 100 Grand St, New Britain, CT 06050 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
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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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