CRISTINA P BAENS
Controlled Substance Registration for Practitioner


Address: 99 Pond Ave Apt 211d, Brookline, MA 02445-7116

CRISTINA P BAENS (Credential# 1117331) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

CRISTINA P BAENS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053494. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 99 Pond Ave Apt 211d, Brookline, MA 02445-7116. The current status is inactive.

Basic Information

Licensee Name CRISTINA P BAENS
Credential ID 1117331
Credential Number CSP.0053494
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 99 Pond Ave Apt 211d
Brookline
MA 02445-7116
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-08-16
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1070686 2.010792 Dentist 2012-07-02 2014-08-01 - 2015-07-31 INACTIVE

Office Location

Street Address 99 POND AVE APT 211D
City BROOKLINE
State MA
Zip Code 02445-7116

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Competitor

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City BROOKLINE
Zip Code 02445
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLINE

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Cristina D Popovici Md 258 Ridgefield Dr, Middletown, CT 06457 Controlled Substance Registration for Practitioner 2002-04-22 ~ 2003-02-28
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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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