MARY L FIORILLO APRN
Controlled Substance Registration for Practitioner


Address: 18 Cavendish Pl, Avon, CT 06001-5100

MARY L FIORILLO APRN (Credential# 335307) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

MARY L FIORILLO APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033351. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 18 Cavendish Pl, Avon, CT 06001-5100. The current status is inactive.

Basic Information

Licensee Name MARY L FIORILLO APRN
Credential ID 335307
Credential Number CSP.0033351
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 18 Cavendish Pl
Avon
CT 06001-5100
Business Type INDIVIDUAL
Status INACTIVE - RETIRED
Issue Date 2004-02-29
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2015-02-13

Other licenses

ID Credential Code Credential Type Issue Term Status
614197 10.E44221 Registered Nurse 1981-09-14 2013-04-01 - 2014-03-31 INACTIVE
680694 12.002516 Advanced Practice Registered Nurse 2001-07-05 2013-04-01 - 2014-03-31 INACTIVE
765363 36.001115 Nursing Home Administrator 1987-09-11 2000-02-07 - 2001-03-31 INACTIVE

Office Location

Street Address 18 CAVENDISH PL
City AVON
State CT
Zip Code 06001-5100

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Competitor

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City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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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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