SUSAN M KAMOVITCH APRN
Controlled Substance Registration for Practitioner


Address: 206 South St, Fairfield, CT 06824

SUSAN M KAMOVITCH APRN (Credential# 157405) 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

SUSAN M KAMOVITCH APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027251. 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 206 South St, Fairfield, CT 06824. The current status is active.

Basic Information

Licensee Name SUSAN M KAMOVITCH APRN
Credential ID 157405
Credential Number CSP.0027251
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 206 South St
Fairfield
CT 06824
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-22

Other licenses

ID Credential Code Credential Type Issue Term Status
651371 10.R51625 Registered Nurse 1995-09-22 2019-09-01 - 2020-08-31 ACTIVE
680009 12.001830 Advanced Practice Registered Nurse 1998-04-24 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address 206 SOUTH ST
City FAIRFIELD
State CT
Zip Code 06824

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Competitor

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City FAIRFIELD
Zip Code 06824
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD

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Susan W Parr Aprn 66 Forest St, New Britain, CT 06052 Controlled Substance Registration for Practitioner 1995-01-18 ~ 1996-12-01
Susan A Distasio Aprn 200 Kennedy Dr, Torrington, CT 06790-3096 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Susan White Aprn 17 Coppola Terrace, Derby, CT 06418 Controlled Substance Registration for Practitioner 1997-03-01 ~ 1998-02-28
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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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