GENEVA N BERESFORD
Controlled Substance Registration for Practitioner


Address: 2 Nutmeg Ln, Bloomfield, CT 06002-1604

GENEVA N BERESFORD (Credential# 1456284) 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

GENEVA N BERESFORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066974. 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 2 Nutmeg Ln, Bloomfield, CT 06002-1604. The current status is active.

Basic Information

Licensee Name GENEVA N BERESFORD
Credential ID 1456284
Credential Number CSP.0066974
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2 Nutmeg Ln
Bloomfield
CT 06002-1604
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-10-16
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-25

Other licenses

ID Credential Code Credential Type Issue Term Status
577853 10.073849 Registered Nurse 2004-07-29 2020-01-01 - 2020-12-31 ACTIVE
1441179 12.007292 Advanced Practice Registered Nurse 2017-10-05 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 2 NUTMEG LN
City BLOOMFIELD
State CT
Zip Code 06002-1604

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Paula L Raines 92 Daniel Blvd, Bloomfield, CT 06002 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Taylor A West 5 Tiffany Ln, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
Emma J Ranel 53 Burr Road, Bloomfield, CT 06002 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Dorothy W Field 177 Oliver Way, Bloomfield, CT 06002 Registered Nurse 2020-09-01 ~ 2021-08-31
Carol J Mortensen 6 Maple Edge Dr, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City BLOOMFIELD
Zip Code 06002
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD

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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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