SUSAN CARY
Controlled Substance Registration for Practitioner


Address: 12 Ruth Dr, Wilbraham, MA 01095-2610

SUSAN CARY (Credential# 970371) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

SUSAN CARY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049119. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 12 Ruth Dr, Wilbraham, MA 01095-2610. The current status is inactive.

Basic Information

Licensee Name SUSAN CARY
Credential ID 970371
Credential Number CSP.0049119
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 12 Ruth Dr
Wilbraham
MA 01095-2610
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-10-14
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
948456 1.049255 Physician/Surgeon 2010-09-30 2013-10-01 - 2014-09-30 INACTIVE

Office Location

Street Address 12 RUTH DR
City WILBRAHAM
State MA
Zip Code 01095-2610

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Competitor

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City WILBRAHAM
Zip Code 01095
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILBRAHAM

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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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