KATE E HUMPHREY
Controlled Substance Registration for Practitioner


Address: 273 Niles Rd, New Hartford, CT 06057-4231

KATE E HUMPHREY (Credential# 995513) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

KATE E HUMPHREY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050044. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 273 Niles Rd, New Hartford, CT 06057-4231. The current status is inactive.

Basic Information

Licensee Name KATE E HUMPHREY
Credential ID 995513
Credential Number CSP.0050044
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 273 Niles Rd
New Hartford
CT 06057-4231
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-05-05
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
991225 1.049673 Physician/Surgeon 2011-04-04 2015-05-01 - 2016-04-30 INACTIVE
841590 70.001856 Emergency Medical Technician 2001-09-24 2001-09-24 - 2003-07-01 INACTIVE

Office Location

Street Address 273 NILES RD
City NEW HARTFORD
State CT
Zip Code 06057-4231

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Competitor

Search similar business entities

City NEW HARTFORD
Zip Code 06057
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HARTFORD

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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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