JUDITH A BLACKMAN-COCHRAN
Controlled Substance Registration for Practitioner


Address: 52 Wightman Avenue, Norwich, CT 06360

JUDITH A BLACKMAN-COCHRAN (Credential# 111138) 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

JUDITH A BLACKMAN-COCHRAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027530. 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 52 Wightman Avenue, Norwich, CT 06360. The current status is active.

Basic Information

Licensee Name JUDITH A BLACKMAN-COCHRAN
Credential ID 111138
Credential Number CSP.0027530
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 52 Wightman Avenue
Norwich
CT 06360
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-08

Other licenses

ID Credential Code Credential Type Issue Term Status
680049 12.001870 Advanced Practice Registered Nurse 1998-07-24 2020-01-01 - 2020-12-31 ACTIVE
637888 10.R30418 Registered Nurse 1978-01-24 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 52 WIGHTMAN AVENUE
City NORWICH
State CT
Zip Code 06360

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Competitor

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City NORWICH
Zip Code 06360
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWICH

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Paula P Rosales Aprn 358 S Cochran Ave Apt 203, Los Angeles, CA 90036-3349 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
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Mary E Blackman Md Danbury Office of Physician Services PC, Danbury, CT 06810 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Judith G Pardo Md Litchfield Ob/gyn PC, Torrington, CT 06790 Controlled Substance Registration for Practitioner 2004-02-29 ~ 2005-02-28
Judith R Marcus Md 233 Mckinley Ave, New Haven, CT 06515-2009 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Judith A Faulkner 1 New Haven Ave Ste 101, Milford, CT 06460-3398 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
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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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