SAMANTHA G LEE
Controlled Substance Registration for Practitioner


Address: 172 Whitman Ave, West Hartford, CT 06107-1635

SAMANTHA G LEE (Credential# 1053017) 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

SAMANTHA G LEE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052011. 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 172 Whitman Ave, West Hartford, CT 06107-1635. The current status is active.

Basic Information

Licensee Name SAMANTHA G LEE
Credential ID 1053017
Credential Number CSP.0052011
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 172 Whitman Ave
West Hartford
CT 06107-1635
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-02-24
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-19

Other licenses

ID Credential Code Credential Type Issue Term Status
1047419 10.103934 Registered Nurse 2012-01-19 2019-10-01 - 2020-09-30 ACTIVE
1050027 12.004932 Advanced Practice Registered Nurse 2012-02-03 2019-10-01 - 2020-09-30 ACTIVE

Other locations

Licensee Name Office Address Credential Effective / Expiration
Samantha G Lee 1 Laurel Ridge Trail, Clinton, CT 06413 Pharmacy Technician 2009-04-01 ~ 2010-03-31

Office Location

Street Address 172 WHITMAN AVE
City WEST HARTFORD
State CT
Zip Code 06107-1635

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Andrea M Yuliano 39 Mountain Terrace Road, West Hartford, CT 06107 Registered Nurse 2020-07-01 ~ 2021-06-30
Elizabeth M Ineson 4 Linwold Dr, West Htfd, CT 06107 Architect 2020-08-01 ~ 2021-07-31
Sarah G Potter 19 Westland Ave, West Hartford, CT 06107 Registered Nurse 2020-09-01 ~ 2021-08-31
Jessica C Abreu 14 Deepwood Lane, West Hartford, CT 06107 Real Estate Salesperson 2020-06-18 ~ 2021-05-31
William C Richter 67 Hillsboro Drive, West Hartford, CT 06107 Architect 2020-08-01 ~ 2021-07-31
Teresa M Stanton 25 Common Dr., West Hartford, CT 06107 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

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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