LAURA B KISSANE
Controlled Substance Registration for Practitioner


Address: 90 Village Dr Apt 435, Wethersfield, CT 06109-1078

LAURA B KISSANE (Credential# 1159856) 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

LAURA B KISSANE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054582. 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 90 Village Dr Apt 435, Wethersfield, CT 06109-1078. The current status is inactive.

Basic Information

Licensee Name LAURA B KISSANE
Credential ID 1159856
Credential Number CSP.0054582
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 90 Village Dr Apt 435
Wethersfield
CT 06109-1078
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-04-25
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1153095 23.002905 Physician Assistant 2013-04-03 2014-12-01 - 2015-11-30 INACTIVE

Office Location

Street Address 90 VILLAGE DR APT 435
City WETHERSFIELD
State CT
Zip Code 06109-1078

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Gregory S Little 90 Village Dr Apt 435, Wethersfield, CT 06109-1078 Emergency Medical Responder 2015-06-30 ~ 2018-04-01

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Competitor

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City WETHERSFIELD
Zip Code 06109
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WETHERSFIELD

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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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