KEZIA L SPENCE
Controlled Substance Registration for Practitioner


Address: 25 2nd St Apt B7, Stamford, CT 06905-5105

KEZIA L SPENCE (Credential# 1181965) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 23, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

KEZIA L SPENCE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056019. The credential type is controlled substance registration for practitioner. The effective date is March 23, 2015. The expiration date is February 28, 2017. The business address is 25 2nd St Apt B7, Stamford, CT 06905-5105. The current status is inactive.

Basic Information

Licensee Name KEZIA L SPENCE
Credential ID 1181965
Credential Number CSP.0056019
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 25 2nd St Apt B7
Stamford
CT 06905-5105
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-08-28
Effective Date 2015-03-23
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 25 2ND ST APT B7
City STAMFORD
State CT
Zip Code 06905-5105

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Competitor

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City STAMFORD
Zip Code 06905
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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