MIRANDA VINCENT
Controlled Substance Registration for Practitioner


Address: 459 Romanock Rd, Fairfield, CT 06825

MIRANDA VINCENT (Credential# 258447) 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

MIRANDA VINCENT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030396. 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 459 Romanock Rd, Fairfield, CT 06825. The current status is active.

Basic Information

Licensee Name MIRANDA VINCENT
Credential ID 258447
Credential Number CSP.0030396
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 459 Romanock Rd
Fairfield
CT 06825
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2000-12-22
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-09-05

Other licenses

ID Credential Code Credential Type Issue Term Status
650480 10.R50733 Registered Nurse 1995-02-03 2019-08-01 - 2020-07-31 ACTIVE
680584 12.002406 Advanced Practice Registered Nurse 2000-11-02 2019-08-01 - 2020-07-31 ACTIVE

Office Location

Street Address 459 ROMANOCK RD
City FAIRFIELD
State CT
Zip Code 06825

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Competitor

Search similar business entities

City FAIRFIELD
Zip Code 06825
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD

Similar businesses

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Bik-yin Miranda Ip 303 Whitney Ave, New Haven, CT 06511-7204 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Max C Miranda Md 5 Perryridge Rd, Greenwich, CT 06830 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
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Joseph K Kittah 6 Miranda Ln, Stratford, CT 06615-5770 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Justine F. Miranda 100 Retreat Ave, Hartford, CT 06106 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Clementine A Mainsah Aprn 2 Miranda Ln, Stratford, CT 06615-5770 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Nana N Kittah 6 Miranda Lane, Stratford, CT 06615 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Miranda Mitchell 37 Remington Farm Dr, Coventry, RI 02816-8276 Controlled Substance Registration for Practitioner 2020-01-22 ~ 2021-02-28
Michael A Miranda 31 Seymour Street, Hartford, CT 06106 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Paula A Miranda 134 Warrington Round, Danbury, CT 06810-5171 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28

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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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