DOROTHY B MERRIAM APRN
Controlled Substance Registration for Practitioner


Address: 222 Glendale Rd, Amherst, MA 01002-3200

DOROTHY B MERRIAM APRN (Credential# 519251) 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

DOROTHY B MERRIAM APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044840. 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 222 Glendale Rd, Amherst, MA 01002-3200. The current status is inactive.

Basic Information

Licensee Name DOROTHY B MERRIAM APRN
Credential ID 519251
Credential Number CSP.0044840
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 222 Glendale Rd
Amherst
MA 01002-3200
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-11-20
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
682121 12.003943 Advanced Practice Registered Nurse 2008-10-29 2014-01-01 - 2014-12-31 INACTIVE
590754 10.086752 Registered Nurse 2008-09-24 2014-01-01 - 2014-12-31 INACTIVE

Office Location

Street Address 222 GLENDALE RD
City AMHERST
State MA
Zip Code 01002-3200

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Competitor

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City AMHERST
Zip Code 01002
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AMHERST

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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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