LINDSAY L DELAIRE
Controlled Substance Registration for Practitioner


Address: 69 10th St, Providence, RI 02906-2919

LINDSAY L DELAIRE (Credential# 1203972) 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 INACTIVE.

Business Overview

LINDSAY L DELAIRE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056644. 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 69 10th St, Providence, RI 02906-2919. The current status is inactive.

Basic Information

Licensee Name LINDSAY L DELAIRE
Credential ID 1203972
Credential Number CSP.0056644
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 69 10th St
Providence
RI 02906-2919
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2014-01-29
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1190686 10.118094 Registered Nurse 2014-04-04 2018-11-01 - 2019-10-31 INACTIVE
1198108 16.000386 Licensed Nurse Midwife 2014-01-27 2018-11-01 - 2019-10-31 INACTIVE
1191857 10.114406-TEMP Registered Nurse - Temporary 2013-10-31 2013-10-31 - 2014-02-27 INACTIVE

Office Location

Street Address 69 10TH ST
City PROVIDENCE
State RI
Zip Code 02906-2919

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Susan Dickstein 196 Freeman Parkway, Providence, RI 02906 Psychologist 2020-07-01 ~ 2021-06-30
Victoria S Karlsen 415 Angell St, Providence, RI 02906 Behavior Analyst ~
John W O'bell Md 14 Rose Ct., Providence, RI 02906 Physician/surgeon 2020-06-01 ~ 2021-05-31
Alexandria Hanul Simon 323 Angell Street, Providence, RI 02906 Emergency Medical Technician ~
Molly A Moran 202 Sixth Street, Providence, RI 02906 Advanced Practice Registered Nurse 2020-06-01 ~ 2021-05-31
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Competitor

Search similar business entities

City PROVIDENCE
Zip Code 02906
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PROVIDENCE

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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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