EMMANUELLE M CLERISME-BEATY
Controlled Substance Registration for Practitioner


Address: 12 Nighthawk Ln, Sandy Hook Ct, CT 06482

EMMANUELLE M CLERISME-BEATY (Credential# 1058524) 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

EMMANUELLE M CLERISME-BEATY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052198. 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 12 Nighthawk Ln, Sandy Hook Ct, CT 06482. The current status is active.

Basic Information

Licensee Name EMMANUELLE M CLERISME-BEATY
Credential ID 1058524
Credential Number CSP.0052198
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 12 Nighthawk Ln
Sandy Hook Ct
CT 06482
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-04-05
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-11

Other licenses

ID Credential Code Credential Type Issue Term Status
560580 1.042998 Physician/Surgeon 2004-12-16 2019-10-01 - 2020-09-30 ACTIVE
374257 CSP.0035210 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-07-15 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 12 Nighthawk Ln
City Sandy Hook CT
State CT
Zip Code 06482

Licenses in the same zip code

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Catherine A D'aquila 4 Fleetwood Drive, Sandy Hook, CT 06482 Registered Nurse 2020-08-01 ~ 2021-07-31
Deanna M Galanis 9 Riverside Road, Sandy Hook, CT 06482 Eyelash Technician 2020-06-26 ~ 2022-02-28
Bruce J Kerns 42 Great Quarter Rd, Sandy Hook, CT 06482 Veterinarian 2020-06-01 ~ 2021-05-31
Nancy B Sheehan 6 Clearview Drive, Sandy Hook, CT 06482 Notary Public Appointment 2020-06-01 ~ 2025-05-31
Elisa A Keenan 8 Farview Dr, Sandy Hook, CT 06482 Licensed Practical Nurse 2020-04-01 ~ 2021-03-31
Children's Adventure Center Inc. 14 Riverside Road, Sandy Hook, CT 06482 Public Charity 2020-12-01 ~ 2021-11-30
Linda J Wallace 80 Walnut Tree Hill, Sandy Hook, CT 06482 Registered Nurse 2020-08-01 ~ 2021-07-31
Gina E Long 35 Poplar Drive, Sandy Hook, CT 06482 Notary Public Appointment 2020-08-01 ~ 2025-07-31
Phillip M Lombardo 42 Berkshire Road, Sandy Hook, CT 06482 Real Estate Salesperson 2020-06-15 ~ 2021-05-31
Robert D Mitchell 71 Osborn Hill Rd, Sandy Hook, CT 06482 Architect 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06482

Competitor

Search similar business entities

City Sandy Hook CT
Zip Code 06482
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Sandy Hook CT

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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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