MICHELLE L HERSHMAN
Controlled Substance Registration for Practitioner


Address: 865 Mix Ave Apt L4, New Haven, CT 06514-2143

MICHELLE L HERSHMAN (Credential# 1171098) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 2, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

MICHELLE L HERSHMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055117. The credential type is controlled substance registration for practitioner. The effective date is July 2, 2013. The expiration date is February 28, 2015. The business address is 865 Mix Ave Apt L4, New Haven, CT 06514-2143. The current status is inactive.

Basic Information

Licensee Name MICHELLE L HERSHMAN
Credential ID 1171098
Credential Number CSP.0055117
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 865 Mix Ave Apt L4
New Haven
CT 06514-2143
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-07-02
Effective Date 2013-07-02
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Office Location

Street Address 865 MIX AVE APT L4
City NEW HAVEN
State CT
Zip Code 06514-2143

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Competitor

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City NEW HAVEN
Zip Code 06514
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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