ALEXANDRA B VILLARD
Controlled Substance Registration for Practitioner


Address: 22 Windermere Ln, Stamford, CT 06902-1010

ALEXANDRA B VILLARD (Credential# 344301) 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

ALEXANDRA B VILLARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033928. 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 22 Windermere Ln, Stamford, CT 06902-1010. The current status is active.

Basic Information

Licensee Name ALEXANDRA B VILLARD
Credential ID 344301
Credential Number CSP.0033928
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 22 Windermere Ln
Stamford
CT 06902-1010
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2003-08-11
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
681057 12.002879 Advanced Practice Registered Nurse 2003-06-19 2020-01-01 - 2020-12-31 ACTIVE
628016 10.E59116 Registered Nurse 1996-08-02 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 22 WINDERMERE LN
City STAMFORD
State CT
Zip Code 06902-1010

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Competitor

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City STAMFORD
Zip Code 06902
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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