LETICIA M CALLAHAN
Controlled Substance Registration for Practitioner


Address: 271 Woodhaven Rd, Glastonbury, CT 06033

LETICIA M CALLAHAN (Credential# 1321837) 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 ACTIVE.

Business Overview

LETICIA M CALLAHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061786. 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 271 Woodhaven Rd, Glastonbury, CT 06033. The current status is active.

Basic Information

Licensee Name LETICIA M CALLAHAN
Credential ID 1321837
Credential Number CSP.0061786
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 271 Woodhaven Rd
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-12-09
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
1315492 12.006404 Advanced Practice Registered Nurse 2015-12-08 2019-10-01 - 2020-09-30 ACTIVE
1123316 10.108298 Registered Nurse 2012-09-24 2019-10-01 - 2020-09-30 ACTIVE
1123550 10.108195-TEMP Registered Nurse - Temporary 2012-09-18 2012-09-18 - 2013-01-16 INACTIVE

Office Location

Street Address 271 Woodhaven Rd
City Glastonbury
State CT
Zip Code 06033

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Competitor

Search similar business entities

City Glastonbury
Zip Code 06033
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Glastonbury

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Thomas E Callahan Md 2800 Main St, Bridgeport, CT 06606 Controlled Substance Registration for Practitioner 2004-08-25 ~ 2005-02-28
James M Callahan Dds 2839 Main St, Bridgeport, CT 06606 Controlled Substance Registration for Practitioner 2000-02-29 ~ 2001-02-28
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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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