SHAUN M ELAM APRN
Controlled Substance Registration for Practitioner


Address: 124 New Haven Ave, Orange, CT 06477

SHAUN M ELAM APRN (Credential# 305835) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 20, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.

Business Overview

SHAUN M ELAM APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031997. The credential type is controlled substance registration for practitioner. The effective date is March 20, 2002. The expiration date is February 28, 2003. The business address is 124 New Haven Ave, Orange, CT 06477. The current status is inactive.

Basic Information

Licensee Name SHAUN M ELAM APRN
Credential ID 305835
Credential Number CSP.0031997
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 124 New Haven Ave
Orange
CT 06477
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2002-03-20
Expiration Date 2003-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
656262 10.R56521 Registered Nurse 1999-03-05 2001-08-23 - 2002-10-31 INACTIVE
680789 12.002611 Advanced Practice Registered Nurse 2001-11-05 2001-11-05 - 2002-10-31 INACTIVE

Office Location

Street Address 124 NEW HAVEN AVE
City ORANGE
State CT
Zip Code 06477

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Competitor

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City ORANGE
Zip Code 06477
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ORANGE

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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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