DANA R PURDY
Controlled Substance Registration for Practitioner


Address: 16 Shelter Harbor Ct, Wading River, NY 11792-2202

DANA R PURDY (Credential# 1353079) 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

DANA R PURDY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062729. 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 16 Shelter Harbor Ct, Wading River, NY 11792-2202. The current status is inactive.

Basic Information

Licensee Name DANA R PURDY
Credential ID 1353079
Credential Number CSP.0062729
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 16 Shelter Harbor Ct
Wading River
NY 11792-2202
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2016-06-10
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
1352931 23.003571 Physician Assistant 2016-06-09 2018-11-01 - 2019-10-31 INACTIVE

Office Location

Street Address 16 SHELTER HARBOR CT
City WADING RIVER
State NY
Zip Code 11792-2202

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Aldo Marletti Jr 54 Southview Ct, Wading River, NY 11792 Professional Engineer 2018-02-01 ~ 2019-01-31
Kevin S Morgenstern 19 Zophar Mills Rd, Wading River, NY 11792 Engineer-in-training 2009-06-09 ~ 2019-06-09
Daniel P Hilton 30 Benjamin St, Wading River, NY 11792 Electrical Unlimited Journeyperson ~
Katherine E Waldron P O Box 574, Wading River, NY 11792 Physical Therapist 1999-06-08 ~ 2000-07-31
Paulette Bidwell-pulito 2 Hunter Trail, Wading River, NY 11792 Dietitian/nutritionist 2000-07-26 ~ 2001-09-30
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Yong Bok Choi Po Box 204, Wading River, NY 11792 Registered Nurse 2013-07-01 ~ 2014-06-30
Sean T Brady 32 Oakwood Dr, Wading River, NY 11792 Engineer-in-training 1996-11-12 ~ 1906-11-12
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Brittany D Miller 27 Oliver St, Wading River, NY 11792-1037 Emergency Medical Technician 2010-10-25 ~ 2013-10-01
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Competitor

Search similar business entities

City WADING RIVER
Zip Code 11792
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WADING RIVER

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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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