MONIQUE LOUISE KNOPF SHAFFER
Controlled Substance Registration for Practitioner


Address: 21 Shasta, Irvine, CA 92612-2223

MONIQUE LOUISE KNOPF SHAFFER (Credential# 1622174) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 24, 2018. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MONIQUE LOUISE KNOPF SHAFFER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070022. The credential type is controlled substance registration for practitioner. The effective date is December 24, 2018. The expiration date is February 28, 2021. The business address is 21 Shasta, Irvine, CA 92612-2223. The current status is active.

Basic Information

Licensee Name MONIQUE LOUISE KNOPF SHAFFER
Credential ID 1622174
Credential Number CSP.0070022
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 21 Shasta
Irvine
CA 92612-2223
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-12-24
Effective Date 2018-12-24
Expiration Date 2021-02-28
Refresh Date 2018-12-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1596968 23.004312 Physician Assistant 2018-10-26 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 21 shasta
City IRVINE
State CA
Zip Code 92612-2223

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Competitor

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City IRVINE
Zip Code 92612
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + IRVINE

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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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