CACHE M CHURCH
Controlled Substance Registration for Practitioner


Address: 120 Scenic View Dr, Middletown, CT 06457-4981

CACHE M CHURCH (Credential# 1187158) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 28, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

CACHE M CHURCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056204. The credential type is controlled substance registration for practitioner. The effective date is September 28, 2013. The expiration date is February 28, 2015. The business address is 120 Scenic View Dr, Middletown, CT 06457-4981. The current status is inactive.

Basic Information

Licensee Name CACHE M CHURCH
Credential ID 1187158
Credential Number CSP.0056204
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 120 Scenic View Dr
Middletown
CT 06457-4981
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-09-28
Effective Date 2013-09-28
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1155744 47.003891 Veterinarian 2013-08-08 2013-08-08 - 2014-07-31 INACTIVE

Office Location

Street Address 120 SCENIC VIEW DR
City MIDDLETOWN
State CT
Zip Code 06457-4981

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN

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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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