VICTORIA A EBIANA
Controlled Substance Registration for Practitioner


Address: 667 Whitney Ave Apt 17, New Haven, CT 06511-1365

VICTORIA A EBIANA (Credential# 1171246) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 2, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

VICTORIA A EBIANA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055166. The credential type is controlled substance registration for practitioner. The effective date is July 2, 2013. The expiration date is February 28, 2015. The business address is 667 Whitney Ave Apt 17, New Haven, CT 06511-1365. The current status is inactive.

Basic Information

Licensee Name VICTORIA A EBIANA
Credential ID 1171246
Credential Number CSP.0055166
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 667 Whitney Ave Apt 17
New Haven
CT 06511-1365
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-07-02
Effective Date 2013-07-02
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Office Location

Street Address 667 WHITNEY AVE APT 17
City NEW HAVEN
State CT
Zip Code 06511-1365

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Susan M York 667 Whitney Ave Apt 9, New Haven, CT 06511-1365 Marital and Family Therapist 2020-01-01 ~ 2020-12-31
Wilbur J Land 667 Whitney Avenue Apt 12, New Haven, CT 06511-1365 Notary Public Appointment 2003-11-01 ~ 2008-10-31
Terra K Sutton 667 Whitney Ave Apt 12, New Haven, CT 06511-1365 Off Track Betting Facility Employee 2013-01-01 ~ 2013-12-31

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Competitor

Search similar business entities

City NEW HAVEN
Zip Code 06511
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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