THOMAS B PATRICK
Controlled Substance Registration for Practitioner


Address: 4 Sanctuary Dr, Cranston, RI 02921-3233

THOMAS B PATRICK (Credential# 1510143) 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

THOMAS B PATRICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067897. 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 4 Sanctuary Dr, Cranston, RI 02921-3233. The current status is active.

Basic Information

Licensee Name THOMAS B PATRICK
Credential ID 1510143
Credential Number CSP.0067897
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4 Sanctuary Dr
Cranston
RI 02921-3233
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-04-30
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-09

Other licenses

ID Credential Code Credential Type Issue Term Status
1503921 23.004085 Physician Assistant 2018-04-30 2020-01-01 - 2020-12-31 ACTIVE
1051311 70.014816 Emergency Medical Technician 2012-02-10 2014-12-23 - 2017-12-31 INACTIVE

Office Location

Street Address 4 SANCTUARY DR
City CRANSTON
State RI
Zip Code 02921-3233

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Competitor

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City CRANSTON
Zip Code 02921
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CRANSTON

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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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