VICTORIA SHAW APRN
Controlled Substance Registration for Practitioner


Address: 4697 Main St, Bridgeport, CT 06606

VICTORIA SHAW APRN (Credential# 234776) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.

Business Overview

VICTORIA SHAW APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029537. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2001. The expiration date is February 28, 2002. The business address is 4697 Main St, Bridgeport, CT 06606. The current status is inactive.

Basic Information

Licensee Name VICTORIA SHAW APRN
Credential ID 234776
Credential Number CSP.0029537
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4697 Main St
Bridgeport
CT 06606
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2001-03-01
Expiration Date 2002-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
680439 12.002261 Advanced Practice Registered Nurse 2000-03-28 2000-11-07 - 2001-11-30 INACTIVE
567070 10.063060 Registered Nurse 2000-02-23 2000-11-07 - 2001-11-30 INACTIVE

Office Location

Street Address 4697 MAIN ST
City BRIDGEPORT
State CT
Zip Code 06606

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Competitor

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City BRIDGEPORT
Zip Code 06606
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT

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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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