SUSAN E POTTER
Controlled Substance Registration for Practitioner


Address: 80 Wilfred Road, Manchester, CT 06040

SUSAN E POTTER (Credential# 157633) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 15, 1994. The license expiration date date is December 1, 1996. The license status is INACTIVE.

Business Overview

SUSAN E POTTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018760. The credential type is controlled substance registration for practitioner. The effective date is November 15, 1994. The expiration date is December 1, 1996. The business address is 80 Wilfred Road, Manchester, CT 06040. The current status is inactive.

Basic Information

Licensee Name SUSAN E POTTER
Credential ID 157633
Credential Number CSP.0018760
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 80 Wilfred Road
Manchester
CT 06040
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-11-15
Expiration Date 1996-12-01
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
771867 47.002179 Veterinarian 1990-10-11 1995-06-28 - 1996-08-31 INACTIVE

Office Location

Street Address 80 WILFRED ROAD
City MANCHESTER
State CT
Zip Code 06040

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Competitor

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City MANCHESTER
Zip Code 06040
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER

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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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