ERIN M BETTENDORF
Controlled Substance Registration for Practitioner


Address: 30 Andrew St, Cambridge, MA 02139-4410

ERIN M BETTENDORF (Credential# 1170581) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

ERIN M BETTENDORF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054989. The credential type is controlled substance registration for practitioner. The effective date is July 1, 2013. The expiration date is February 28, 2015. The business address is 30 Andrew St, Cambridge, MA 02139-4410. The current status is inactive.

Basic Information

Licensee Name ERIN M BETTENDORF
Credential ID 1170581
Credential Number CSP.0054989
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 30 Andrew St
Cambridge
MA 02139-4410
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-07-01
Effective Date 2013-07-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Office Location

Street Address 30 ANDREW ST
City CAMBRIDGE
State MA
Zip Code 02139-4410

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City CAMBRIDGE
Zip Code 02139
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CAMBRIDGE

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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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