BONNIE S MACKENZIE
Controlled Substance Registration for Practitioner


Address: 443 Horse Pond Road, Madison, CT 06443

BONNIE S MACKENZIE (Credential# 1161942) 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

BONNIE S MACKENZIE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054654. 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 443 Horse Pond Road, Madison, CT 06443. The current status is active.

Basic Information

Licensee Name BONNIE S MACKENZIE
Credential ID 1161942
Credential Number CSP.0054654
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 443 Horse Pond Road
Madison
CT 06443
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-06-20
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-11

Other licenses

ID Credential Code Credential Type Issue Term Status
1156475 1.052132 Physician/Surgeon 2013-06-19 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 443 Horse Pond Road
City Madison
State CT
Zip Code 06443

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Competitor

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City Madison
Zip Code 06443
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Madison

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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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