SHERYL A IRWIN
Controlled Substance Registration for Practitioner


Address: 540 N Woodstock Rd, Southbridge, MA 01550-2921

SHERYL A IRWIN (Credential# 1124023) 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

SHERYL A IRWIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053741. 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 540 N Woodstock Rd, Southbridge, MA 01550-2921. The current status is active.

Basic Information

Licensee Name SHERYL A IRWIN
Credential ID 1124023
Credential Number CSP.0053741
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 540 N Woodstock Rd
Southbridge
MA 01550-2921
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 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
557774 1.040191 Physician/Surgeon 2002-02-26 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 540 N WOODSTOCK RD
City SOUTHBRIDGE
State MA
Zip Code 01550-2921

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Competitor

Search similar business entities

City SOUTHBRIDGE
Zip Code 01550
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHBRIDGE

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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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