Lisa A Burk Controlled Substance Registration for Practitioner
53 Goshen Rd, Torrington, CT 067902706


Lisa A Burk is licensed in the eLicensing system of Connecticut. The license credential ID is 1308687. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 53 Goshen Rd, Torrington, CT 067902706. The zip code is 06790.


Lisa A Burk · 53 Goshen Rd, Torrington, CT 067902706

Credential ID 1308687
Name LISA A BURK
Type INDIVIDUAL
Address 53 GOSHEN RD
TORRINGTON, CT 067902706
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0061418
Credential Type CSP
Credential Number 61418
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 09/03/2015
Effective Date 09/03/2015
Expiration Date 02/28/2017
Record Refresh Date 09/04/201

LISA A BURK · Connecticut Business

Lisa A Burk · Advanced Practice Registered Nurse 53 Goshen Rd, Torrington, CT 067902706
Lisa A Burk · Registered Nurse 53 Goshen Rd, Torrington, CT 067902706

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