AMY BLACKMER
Controlled Substance Registration for Practitioner


Address: 518 E 3rd St, Boston, MA 02127

AMY BLACKMER (Credential# 1334576) 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

AMY BLACKMER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062144. 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 518 E 3rd St, Boston, MA 02127. The current status is active.

Basic Information

Licensee Name AMY BLACKMER
Credential ID 1334576
Credential Number CSP.0062144
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 518 E 3rd St
Boston
MA 02127
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-02-23
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-18

Other licenses

ID Credential Code Credential Type Issue Term Status
1330243 23.003536 Physician Assistant 2016-02-19 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 518 E 3rd St
City Boston
State MA
Zip Code 02127

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Competitor

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City Boston
Zip Code 02127
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Boston

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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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