SUSAN K DEMICCO
Controlled Substance Registration for Practitioner


Address: 124 E Oglethorpe Ave, Savannah, GA 31401-3709

SUSAN K DEMICCO (Credential# 984724) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 5, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

SUSAN K DEMICCO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049636. The credential type is controlled substance registration for practitioner. The effective date is November 5, 2015. The expiration date is February 28, 2017. The business address is 124 E Oglethorpe Ave, Savannah, GA 31401-3709. The current status is inactive.

Basic Information

Licensee Name SUSAN K DEMICCO
Credential ID 984724
Credential Number CSP.0049636
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 124 E Oglethorpe Ave
Savannah
GA 31401-3709
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-03-22
Effective Date 2015-11-05
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
984763 10.098257 Registered Nurse 2011-02-16 2015-11-01 - 2016-10-31 INACTIVE
984759 12.004609 Advanced Practice Registered Nurse 2011-02-18 2015-11-01 - 2016-10-31 INACTIVE

Office Location

Street Address 124 E OGLETHORPE AVE
City SAVANNAH
State GA
Zip Code 31401-3709

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Competitor

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City SAVANNAH
Zip Code 31401
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SAVANNAH

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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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