DONNA M HARRISON MD
Controlled Substance Registration for Practitioner


Address: 2633 Ne 14th Ave #114, Fort Lauderdale, FL 33334

DONNA M HARRISON MD (Credential# 465806) 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

DONNA M HARRISON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041240. 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 2633 Ne 14th Ave #114, Fort Lauderdale, FL 33334. The current status is inactive.

Basic Information

Licensee Name DONNA M HARRISON MD
Credential ID 465806
Credential Number CSP.0041240
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2633 Ne 14th Ave #114
Fort Lauderdale
FL 33334
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-05-15
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
562938 1.045356 Physician/Surgeon 2007-05-01 2007-09-17 - 2008-10-31 INACTIVE

Office Location

Street Address 2633 NE 14TH AVE #114
City FORT LAUDERDALE
State FL
Zip Code 33334

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Competitor

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City FORT LAUDERDALE
Zip Code 33334
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FORT LAUDERDALE

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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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