MARK W BRAITHWAITE
Controlled Substance Registration for Practitioner


Address: 159 Midwood Street, Brooklyn, NY 11225

MARK W BRAITHWAITE (Credential# 1027821) 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

MARK W BRAITHWAITE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051163. 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 159 Midwood Street, Brooklyn, NY 11225. The current status is active.

Basic Information

Licensee Name MARK W BRAITHWAITE
Credential ID 1027821
Credential Number CSP.0051163
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 159 Midwood Street
Brooklyn
NY 11225
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-08-10
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-26

Other licenses

ID Credential Code Credential Type Issue Term Status
704374 2.009922 Dentist 2008-07-29 2019-08-01 - 2020-07-31 ACTIVE

Office Location

Street Address 159 Midwood Street
City Brooklyn
State NY
Zip Code 11225

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Competitor

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City Brooklyn
Zip Code 11225
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Brooklyn

Similar businesses

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Ronald S Braithwaite Md 950 Campbell Ave, West Haven, CT 06516 Controlled Substance Registration for Practitioner 2009-03-07 ~ 2011-02-28
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Mark R Cullen Md 22 Lee Way, Madison, CT 06443 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
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Mark S Schroeder 354 Warrenville Rd., Mansfield, CT 06250 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Mark E Pethick Dmd 532 Chapel St, New Haven, CT 06511 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Mark T Ryan Dmd 26 Riverbend Rd, Trumbull, CT 06611 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Mark W Greve 61 Three Corners Rd, Guilford, CT 06437 Controlled Substance Registration for Practitioner 2005-04-18 ~ 2006-02-28
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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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