Doreen Ann Nicoletti Controlled Substance Registration for Practitioner
16 Winding Brook Ln, Wallingford, CT 064923355


Doreen Ann Nicoletti is licensed in the eLicensing system of Connecticut. The license credential ID is 158112. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 16 Winding Brook Ln, Wallingford, CT 064923355. The zip code is 06492.


Doreen Ann Nicoletti · 16 Winding Brook Ln, Wallingford, CT 064923355

Credential ID 158112
Name DOREEN ANN NICOLETTI
Type INDIVIDUAL
Address 16 WINDING BROOK LN
WALLINGFORD, CT 064923355
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0018893
Credential Type CSP
Credential Number 18893
Status ACTIVE
Status Reason CURRENT
Active 1
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 01/29/201

DOREEN ANN NICOLETTI · Connecticut Business

Doreen Ann Nicoletti · Advanced Practice Registered Nurse 16 Winding Brook Ln, Wallingford, CT 064923355
Doreen Ann Nicoletti · Registered Nurse 16 Winding Brook Ln, Wallingford, CT 064923355

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