LARISSA DEATS
Controlled Substance Registration for Practitioner


Address: 14 Waterbury Ave., Stamford, CT 06902

LARISSA DEATS (Credential# 1047270) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

LARISSA DEATS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051869. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 14 Waterbury Ave., Stamford, CT 06902. The current status is inactive.

Basic Information

Licensee Name LARISSA DEATS
Credential ID 1047270
Credential Number CSP.0051869
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 14 Waterbury Ave.
Stamford
CT 06902
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-01-12
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1039506 12.004894 Advanced Practice Registered Nurse 2011-12-14 2016-02-01 - 2017-01-31 INACTIVE
586082 10.082080 Registered Nurse 2007-06-21 2016-02-01 - 2017-01-31 INACTIVE

Office Location

Street Address 14 Waterbury Ave.
City Stamford
State CT
Zip Code 06902

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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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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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