DANIELLY MUCHIUTTI
Controlled Substance Registration for Practitioner


Address: 174 Reservoir Rd, Middletown, RI 02842-5961

DANIELLY MUCHIUTTI (Credential# 1380308) 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

DANIELLY MUCHIUTTI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064073. 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 174 Reservoir Rd, Middletown, RI 02842-5961. The current status is lapsed.

Basic Information

Licensee Name DANIELLY MUCHIUTTI
Credential ID 1380308
Credential Number CSP.0064073
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 174 Reservoir Rd
Middletown
RI 02842-5961
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2016-09-22
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
680652 12.002474 Advanced Practice Registered Nurse 2001-03-23 2017-08-01 - 2018-07-31 INACTIVE
655001 10.R55259 Registered Nurse 1998-03-27 2017-08-01 - 2018-07-31 INACTIVE
274235 CSP.0030727 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-04-05 - 2002-02-28 INACTIVE

Office Location

Street Address 174 RESERVOIR RD
City MIDDLETOWN
State RI
Zip Code 02842-5961

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Patricia E O'day 182 Vernon Avenue, Middletown, RI 02842 Registered Nurse 2020-02-01 ~ 2021-01-31
Hannah E Bedard 27 Dudley Ave North, Middletown, RI 02842 Pharmacy Intern 2019-12-31 ~ 2022-09-30
Wes Clarkson 126 West View Road, Middletown, RI 02842 Backflow Prevention Device Tester 2017-01-01 ~ 2019-12-31
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Competitor

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City MIDDLETOWN
Zip Code 02842
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN

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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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