SUSAN R HUNTINGTON PA-C
Controlled Substance Registration for Practitioner


Address: 8 Mill Pond Lane, Simsbury, CT 06070

SUSAN R HUNTINGTON PA-C (Credential# 485356) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is INACTIVE.

Business Overview

SUSAN R HUNTINGTON PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042740. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 8 Mill Pond Lane, Simsbury, CT 06070. The current status is inactive.

Basic Information

Licensee Name SUSAN R HUNTINGTON PA-C
Credential ID 485356
Credential Number CSP.0042740
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 8 Mill Pond Lane
Simsbury
CT 06070
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Issue Date 2007-10-25
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-02-26

Other licenses

ID Credential Code Credential Type Issue Term Status
743719 23.001970 Physician Assistant 2007-09-20 2013-09-01 - 2014-08-31 INACTIVE

Office Location

Street Address 8 Mill Pond Lane
City SIMSBURY
State CT
Zip Code 06070

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Competitor

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City SIMSBURY
Zip Code 06070
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SIMSBURY

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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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