ALFRED J CRETELLA
Controlled Substance Registration for Practitioner


Address: Po Box 616, Brookfield, CT 06804-0616

ALFRED J CRETELLA (Credential# 1226249) 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

ALFRED J CRETELLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057261. 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 Po Box 616, Brookfield, CT 06804-0616. The current status is active.

Basic Information

Licensee Name ALFRED J CRETELLA
Credential ID 1226249
Credential Number CSP.0057261
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Po Box 616
Brookfield
CT 06804-0616
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-06-02
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-27

Other licenses

ID Credential Code Credential Type Issue Term Status
544268 1.022754 Physician/Surgeon 1981-04-22 2020-01-01 - 2020-12-31 ACTIVE
150157 CSP.0010273 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-03-01 - 2008-02-29 INACTIVE
338241 CSP.0033483 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE
162370 CSP.0020911 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1994-07-06 - 1996-08-01 INACTIVE

Office Location

Street Address PO BOX 616
City BROOKFIELD
State CT
Zip Code 06804-0616

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Competitor

Search similar business entities

City BROOKFIELD
Zip Code 06804
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKFIELD

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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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