MARC Z KRICHAVSKY
Controlled Substance Registration for Practitioner


Address: 25 Germantown Rd, Danbury, CT 06810-5036

MARC Z KRICHAVSKY (Credential# 1025232) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MARC Z KRICHAVSKY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051022. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 25 Germantown Rd, Danbury, CT 06810-5036. The current status is active.

Basic Information

Licensee Name MARC Z KRICHAVSKY
Credential ID 1025232
Credential Number CSP.0051022
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 25 Germantown Rd
Danbury
CT 06810-5036
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-08-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1004702 1.050181 Physician/Surgeon 2011-08-01 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address 25 GERMANTOWN RD
City DANBURY
State CT
Zip Code 06810-5036

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Umar Riaz Ahmad 25 Germantown Rd, Danbury, CT 06810-5036 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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Competitor

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City DANBURY
Zip Code 06810
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DANBURY

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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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