PHATHSADY LOUANGXAY
Controlled Substance Registration for Practitioner


Address: 34 Whispering Pines Dr, Cranston, RI 02921-3002

PHATHSADY LOUANGXAY (Credential# 1127072) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

PHATHSADY LOUANGXAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053862. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 34 Whispering Pines Dr, Cranston, RI 02921-3002. The current status is inactive.

Basic Information

Licensee Name PHATHSADY LOUANGXAY
Credential ID 1127072
Credential Number CSP.0053862
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 34 Whispering Pines Dr
Cranston
RI 02921-3002
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-10-12
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1123255 23.002852 Physician Assistant 2012-11-09 2012-11-09 - 2013-11-30 INACTIVE

Office Location

Street Address 34 WHISPERING PINES DR
City CRANSTON
State RI
Zip Code 02921-3002

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City CRANSTON
Zip Code 02921
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CRANSTON

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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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