VAN T SIMMONS APRN
Controlled Substance Registration for Practitioner


Address: 4555 Highland Drive, Lake Charles, LA 70605

VAN T SIMMONS APRN (Credential# 530057) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 13, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

VAN T SIMMONS APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045369. The credential type is controlled substance registration for practitioner. The effective date is April 13, 2009. The expiration date is February 28, 2011. The business address is 4555 Highland Drive, Lake Charles, LA 70605. The current status is inactive.

Basic Information

Licensee Name VAN T SIMMONS APRN
Credential ID 530057
Credential Number CSP.0045369
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4555 Highland Drive
Lake Charles
LA 70605
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-04-13
Effective Date 2009-04-13
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
592400 10.088398 Registered Nurse 2009-04-01 2009-04-01 - 2010-04-30 INACTIVE
682243 12.004065 Advanced Practice Registered Nurse 2009-04-01 2009-04-01 - 2010-04-30 INACTIVE

Office Location

Street Address 4555 HIGHLAND DRIVE
City LAKE CHARLES
State LA
Zip Code 70605

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Doris Adejumoke Adefusika 1503 North Vintage Lane, Lake Charles, LA 70605 Registered Nurse 2019-06-01 ~ 2020-05-31
Theresa D Tofflemire · Melong 1020 W Mcneese St, Lake Charles, LA 70605 Registered Nurse ~ 1995-07-31
Shelley Sliman · Smith 3725 Heather Lane, Lake Charles, LA 70605 Licensed Practical Nurse 1999-01-25 ~ 1999-10-31
Karen A Milburn 1704 N. Tallowood Street, Lake Charles, LA 70605 Registered Nurse 2005-10-25 ~ 2006-10-31
Thuyet Van Nguyen 1515 W. Mcneese St Apt #78, Lake Charles, LA 70605 Hairdresser/cosmetician 2003-01-09 ~ 2004-02-29
James E Kjerulff Sr Rt 3 Box 396, Lk Charles, LA 70605 Heating, Piping & Cooling Limited Journeyperson ~
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Competitor

Search similar business entities

City LAKE CHARLES
Zip Code 70605
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LAKE CHARLES

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Crystal L Simmons 4015 County Route 17, De Kalb Junction, NY 13630-4137 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Ann Burzynski Aprn Po Box 158, Colchester, VT 05446-0158 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Jane F Moysak Aprn 68 Rye Rd, Rye, NY 10580-2228 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
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Janet M Bailey Aprn Po Box 384, Silverton, OR 97381 Controlled Substance Registration for Practitioner 2005-03-01 ~ 2006-02-28
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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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