DIANE WALKER BUCKNILL
Controlled Substance Registration for Practitioner


Address: 180 Green St # 3211, Melrose, MA 02176-1900

DIANE WALKER BUCKNILL (Credential# 1402215) 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

DIANE WALKER BUCKNILL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064759. 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 180 Green St # 3211, Melrose, MA 02176-1900. The current status is active.

Basic Information

Licensee Name DIANE WALKER BUCKNILL
Credential ID 1402215
Credential Number CSP.0064759
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 180 Green St # 3211
Melrose
MA 02176-1900
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-02-09
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-15

Other licenses

ID Credential Code Credential Type Issue Term Status
1379614 10.139172 Registered Nurse 2016-12-07 2019-12-01 - 2020-11-30 ACTIVE
1379613 12.006887 Advanced Practice Registered Nurse 2016-12-20 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 180 GREEN ST # 3211
City MELROSE
State MA
Zip Code 02176-1900

Licenses in the same zip code

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Oltjon Albajrami 2 Banks Place, Melrose, MA 02176 Physician/surgeon 2020-06-01 ~ 2021-05-31
Nicholas D Votaw 15 Leah Street, Melrose, MA 02176 Professional Engineer 2020-02-01 ~ 2021-01-31
Annadiem D Nguyen 178 Linwood Avenue, Melrose, MA 02176 Registered Nurse 2020-06-01 ~ 2021-05-31
Charles E Mace 290 First Street, Melrose, MA 02176 Professional Engineer 2014-02-01 ~ 2015-01-31
Francesco J Spagna 7 Gooch Street, Melrose, MA 02176 Professional Engineer 2020-02-01 ~ 2021-01-31
Alireza Heidariabhari 35 School St, Melrose, MA 02176 Professional Engineer 2020-02-01 ~ 2021-01-31
Anthony D'ambrosio 32 Wheeler Ave, Melrose, MA 02176 Professional Engineer 2020-02-01 ~ 2021-01-31
Patrick W Baxter 20 Gooch Street, Melrose, MA 02176 Professional Engineer 2018-02-01 ~ 2019-01-31
Ashley Elizabeth Cunningham 176 Forest St, Melrose, MA 02176 Occupational Therapist 2017-11-06 ~ 2019-07-31
Kristen Elizabeth Janko 10 Corey Street, Melrose, MA 02176 Registered Nurse 2019-12-01 ~ 2020-11-30
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Competitor

Search similar business entities

City MELROSE
Zip Code 02176
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MELROSE

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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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