LARA T BAILEY
Controlled Substance Registration for Practitioner


Address: 75 Lancaster Dr, Windsor, CT 06095-1467

LARA T BAILEY (Credential# 1123833) 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

LARA T BAILEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053736. 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 75 Lancaster Dr, Windsor, CT 06095-1467. The current status is active.

Basic Information

Licensee Name LARA T BAILEY
Credential ID 1123833
Credential Number CSP.0053736
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 75 Lancaster Dr
Windsor
CT 06095-1467
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-09-21
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-15

Other licenses

ID Credential Code Credential Type Issue Term Status
656196 10.R56455 Registered Nurse 1999-02-26 2020-01-01 - 2020-12-31 ACTIVE
1120058 12.005124 Advanced Practice Registered Nurse 2012-09-05 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 75 LANCASTER DR
City WINDSOR
State CT
Zip Code 06095-1467

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Ida M Terry 65 Lancaster Dr, Windsor, CT 06095-1467 Professional Counselor 2020-04-08 ~ 2021-02-28
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Competitor

Search similar business entities

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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