TAMMIE L EMMONS PAC
Controlled Substance Registration for Practitioner


Address: 15 Perry Ave Apt D6, Norwalk, CT 06850-1653

TAMMIE L EMMONS PAC (Credential# 522220) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 13, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

TAMMIE L EMMONS PAC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044970. The credential type is controlled substance registration for practitioner. The effective date is March 13, 2019. The expiration date is February 28, 2021. The business address is 15 Perry Ave Apt D6, Norwalk, CT 06850-1653. The current status is active.

Basic Information

Licensee Name TAMMIE L EMMONS PAC
Credential ID 522220
Credential Number CSP.0044970
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 15 Perry Ave Apt D6
Norwalk
CT 06850-1653
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2009-01-07
Effective Date 2019-03-13
Expiration Date 2021-02-28
Refresh Date 2019-03-15

Other licenses

ID Credential Code Credential Type Issue Term Status
742110 23.000361 Physician Assistant 1993-11-05 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 15 PERRY AVE APT D6
City NORWALK
State CT
Zip Code 06850-1653

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Karina A Giangos 15 Perry Ave Apt D2, Norwalk, CT 06850-1653 Registered Nurse 2019-10-01 ~ 2020-09-30
Lin-yu D Chang 15 Perry Ave Apt D10, Norwalk, CT 06850-1653 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Sarah L Elliott 15 Perry Ave Apt D4, Norwalk, CT 06850-1653 Resident Physician 2014-07-01 ~ 2018-06-30

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Jill Goldberg Aprn 1 Bonnybrook Road, Norwalk, CT 06850 Advanced Practice Registered Nurse 2020-05-01 ~ 2021-04-30
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Competitor

Search similar business entities

City NORWALK
Zip Code 06850
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWALK

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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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