KATHLEEN J ECKMAN APRN
Controlled Substance Registration for Practitioner


Address: 106 Sandhurst Dr, Lafayette, LA 70508-6541

KATHLEEN J ECKMAN APRN (Credential# 531976) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 6, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

KATHLEEN J ECKMAN APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045467. The credential type is controlled substance registration for practitioner. The effective date is May 6, 2009. The expiration date is February 28, 2011. The business address is 106 Sandhurst Dr, Lafayette, LA 70508-6541. The current status is inactive.

Basic Information

Licensee Name KATHLEEN J ECKMAN APRN
Credential ID 531976
Credential Number CSP.0045467
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 106 Sandhurst Dr
Lafayette
LA 70508-6541
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-05-06
Effective Date 2009-05-06
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
592082 10.088080 Registered Nurse 2009-02-27 2010-03-01 - 2011-02-28 INACTIVE
682221 12.004043 Advanced Practice Registered Nurse 2009-02-27 2010-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 106 SANDHURST DR
City LAFAYETTE
State LA
Zip Code 70508-6541

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Competitor

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City LAFAYETTE
Zip Code 70508
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
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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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