SUSAN M TRAVIS APRN
Controlled Substance Registration for Practitioner


Address: 226 5th St, Verplank, NY 10596-0806

SUSAN M TRAVIS APRN (Credential# 527154) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

SUSAN M TRAVIS APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045221. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 226 5th St, Verplank, NY 10596-0806. The current status is inactive.

Basic Information

Licensee Name SUSAN M TRAVIS APRN
Credential ID 527154
Credential Number CSP.0045221
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 226 5th St
Verplank
NY 10596-0806
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-03-12
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
682211 12.004033 Advanced Practice Registered Nurse 2009-02-19 2011-12-01 - 2012-11-30 INACTIVE
591923 10.087921 Registered Nurse 2009-02-05 2011-12-01 - 2012-11-30 INACTIVE

Office Location

Street Address 226 5TH ST
City VERPLANK
State NY
Zip Code 10596-0806

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Competitor

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City VERPLANK
Zip Code 10596
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VERPLANK

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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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