TRACY L JOHNSON DVM
Controlled Substance Registration for Practitioner


Address: 62 Grant Rd, Bethany, CT 06524-3063

TRACY L JOHNSON DVM (Credential# 506214) 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

TRACY L JOHNSON DVM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043694. 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 62 Grant Rd, Bethany, CT 06524-3063. The current status is active.

Basic Information

Licensee Name TRACY L JOHNSON DVM
Credential ID 506214
Credential Number CSP.0043694
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 62 Grant Rd
Bethany
CT 06524-3063
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2008-06-20
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
772156 47.002481 Veterinarian 1996-06-07 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 62 GRANT RD
City BETHANY
State CT
Zip Code 06524-3063

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Competitor

Search similar business entities

City BETHANY
Zip Code 06524
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BETHANY

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Tracy S Wang Md 109 Church St Apt 401, New Haven, CT 06510 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
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Tracy G Carmellini 101 No Plains, Wallingford, CT 06492 Controlled Substance Registration for Practitioner 2000-02-29 ~ 2001-02-28
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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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