RACHEL D EGAN
Controlled Substance Registration for Practitioner


Address: 150 Grossman Dr Ste 404, Braintree, MA 02184-4952

RACHEL D EGAN (Credential# 1444782) 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

RACHEL D EGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066669. 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 150 Grossman Dr Ste 404, Braintree, MA 02184-4952. The current status is active.

Basic Information

Licensee Name RACHEL D EGAN
Credential ID 1444782
Credential Number CSP.0066669
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 150 Grossman Dr Ste 404
Braintree
MA 02184-4952
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-08-24
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-11

Other licenses

ID Credential Code Credential Type Issue Term Status
1424192 12.007046 Advanced Practice Registered Nurse 2017-06-16 2019-12-01 - 2020-11-30 ACTIVE
1425009 10.142642 Registered Nurse 2017-06-16 2019-12-01 - 2020-11-30 ACTIVE
1429811 10.142530-TEMP Registered Nurse - Temporary 2017-06-07 2017-06-07 - 2017-10-04 INACTIVE

Office Location

Street Address 150 GROSSMAN DR STE 404
City BRAINTREE
State MA
Zip Code 02184-4952

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Rosana J Mean 26 Alden Rd, Braintree, MA 02184 Pharmacist 2018-02-01 ~ 2020-01-31
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Competitor

Search similar business entities

City BRAINTREE
Zip Code 02184
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRAINTREE

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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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