BERNADETTE S. MCKELL
Controlled Substance Registration for Practitioner


Address: 190 Atwater Rd, Springfield, MA 01107-1255

BERNADETTE S. MCKELL (Credential# 476374) 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

BERNADETTE S. MCKELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041814. 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 190 Atwater Rd, Springfield, MA 01107-1255. The current status is inactive.

Basic Information

Licensee Name BERNADETTE S. MCKELL
Credential ID 476374
Credential Number CSP.0041814
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 190 Atwater Rd
Springfield
MA 01107-1255
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-07-17
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
978919 1.049408-DO Physician/Surgeon 2010-12-21 2012-12-01 - 2013-11-30 INACTIVE

Office Location

Street Address 190 ATWATER RD
City SPRINGFIELD
State MA
Zip Code 01107-1255

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Competitor

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City SPRINGFIELD
Zip Code 01107
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD

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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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