ABIGAIL E WASHBURN PA-C
Controlled Substance Registration for Practitioner


Address: 25 New South St #301, Northampton, MA 01060

ABIGAIL E WASHBURN PA-C (Credential# 426496) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

ABIGAIL E WASHBURN PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038721. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 25 New South St #301, Northampton, MA 01060. The current status is inactive.

Basic Information

Licensee Name ABIGAIL E WASHBURN PA-C
Credential ID 426496
Credential Number CSP.0038721
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 25 New South St #301
Northampton
MA 01060
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-01-18
Effective Date 2008-03-01
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
743486 23.001737 Physician Assistant 2005-12-06 2007-07-31 - 2008-09-30 INACTIVE

Office Location

Street Address 25 NEW SOUTH ST #301
City NORTHAMPTON
State MA
Zip Code 01060

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Competitor

Search similar business entities

City NORTHAMPTON
Zip Code 01060
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTHAMPTON

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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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