KELLY A ECKERT APRN
Controlled Substance Registration for Practitioner


Address: 29 Little Brook Ln, Newtown, CT 06470

KELLY A ECKERT APRN (Credential# 234247) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

KELLY A ECKERT APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029642. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 29 Little Brook Ln, Newtown, CT 06470. The current status is inactive.

Basic Information

Licensee Name KELLY A ECKERT APRN
Credential ID 234247
Credential Number CSP.0029642
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 29 Little Brook Ln
Newtown
CT 06470
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2004-02-29
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
680398 12.002220 Advanced Practice Registered Nurse 2000-01-12 2003-08-20 - 2004-10-31 INACTIVE
656750 10.R57009 Registered Nurse 1999-06-25 2000-10-16 - 2001-10-31 INACTIVE

Office Location

Street Address 29 LITTLE BROOK LN
City NEWTOWN
State CT
Zip Code 06470

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Competitor

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City NEWTOWN
Zip Code 06470
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWTOWN

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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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