AMY K RAQUEPAU PA
Controlled Substance Registration for Practitioner


Address: 138 Parkview Dr, Avon, CT 06001-3453

AMY K RAQUEPAU PA (Credential# 943916) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 15, 2010. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

AMY K RAQUEPAU PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048029. The credential type is controlled substance registration for practitioner. The effective date is July 15, 2010. The expiration date is February 28, 2013. The business address is 138 Parkview Dr, Avon, CT 06001-3453. The current status is inactive.

Basic Information

Licensee Name AMY K RAQUEPAU PA
Credential ID 943916
Credential Number CSP.0048029
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 138 Parkview Dr
Avon
CT 06001-3453
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-07-15
Effective Date 2010-07-15
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
934838 23.002416 Physician Assistant 2010-07-01 2011-08-01 - 2012-07-31 INACTIVE
943835 CSP.0048012 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER - INACTIVE

Office Location

Street Address 138 PARKVIEW DR
City AVON
State CT
Zip Code 06001-3453

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Competitor

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City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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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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