LISA N NEAVYN
Controlled Substance Registration for Practitioner


Address: 8 Hillcrest Ave, Shrewsbury, MA 01545-5635

LISA N NEAVYN (Credential# 1282982) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

LISA N NEAVYN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060149. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 8 Hillcrest Ave, Shrewsbury, MA 01545-5635. The current status is lapsed.

Basic Information

Licensee Name LISA N NEAVYN
Credential ID 1282982
Credential Number CSP.0060149
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 8 Hillcrest Ave
Shrewsbury
MA 01545-5635
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-05-07
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1236957 1.053582 Physician/Surgeon 2014-10-08 2016-05-01 - 2017-04-30 INACTIVE

Office Location

Street Address 8 HILLCREST AVE
City SHREWSBURY
State MA
Zip Code 01545-5635

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Competitor

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City SHREWSBURY
Zip Code 01545
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHREWSBURY

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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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