MARK W MOSSEY
Controlled Substance Registration for Practitioner


Address: 227 Church St Apt 10b, New Haven, CT 06510-1824

MARK W MOSSEY (Credential# 1083482) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

MARK W MOSSEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053216. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 227 Church St Apt 10b, New Haven, CT 06510-1824. The current status is inactive.

Basic Information

Licensee Name MARK W MOSSEY
Credential ID 1083482
Credential Number CSP.0053216
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 227 Church St Apt 10b
New Haven
CT 06510-1824
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-07-18
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1058037 1.050955 Physician/Surgeon 2012-05-24 2012-12-01 - 2013-11-30 INACTIVE

Office Location

Street Address 227 CHURCH ST APT 10B
City NEW HAVEN
State CT
Zip Code 06510-1824

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Competitor

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City NEW HAVEN
Zip Code 06510
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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