NICOLE M HOLLIS
Controlled Substance Registration for Practitioner


Address: 29 Last Leaf Circle, Windsor, CT 06095

NICOLE M HOLLIS (Credential# 1080783) 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

NICOLE M HOLLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052907. 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 29 Last Leaf Circle, Windsor, CT 06095. The current status is inactive.

Basic Information

Licensee Name NICOLE M HOLLIS
Credential ID 1080783
Credential Number CSP.0052907
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 29 Last Leaf Circle
Windsor
CT 06095
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-07-26
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 29 last leaf circle
City Windsor
State CT
Zip Code 06095

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Competitor

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City Windsor
Zip Code 06095
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Windsor

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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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