ADRIANA HERRERA MD
Controlled Substance Registration for Practitioner


Address: 256 Cedar Road, Mystic, CT 06355

ADRIANA HERRERA MD (Credential# 366445) 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

ADRIANA HERRERA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034798. 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 256 Cedar Road, Mystic, CT 06355. The current status is active.

Basic Information

Licensee Name ADRIANA HERRERA MD
Credential ID 366445
Credential Number CSP.0034798
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 256 Cedar Road
Mystic
CT 06355
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-04-20
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-15

Other licenses

ID Credential Code Credential Type Issue Term Status
559452 1.041869 Physician/Surgeon 2003-09-19 2019-10-01 - 2020-09-30 ACTIVE
1267020 CSP.0059453 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-02-12 2015-02-12 - 2017-02-28 INACTIVE

Office Location

Street Address 256 Cedar Road
City Mystic
State CT
Zip Code 06355

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Competitor

Search similar business entities

City Mystic
Zip Code 06355
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Mystic

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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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