FATIMA B MARTINEZ
Controlled Substance Registration for Practitioner


Address: 26 Kowal Ct, Newington, CT 06111-5323

FATIMA B MARTINEZ (Credential# 1232253) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

FATIMA B MARTINEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057762. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 26 Kowal Ct, Newington, CT 06111-5323. The current status is lapsed.

Basic Information

Licensee Name FATIMA B MARTINEZ
Credential ID 1232253
Credential Number CSP.0057762
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 26 Kowal Ct
Newington
CT 06111-5323
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2014-07-11
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Office Location

Street Address 26 KOWAL CT
City NEWINGTON
State CT
Zip Code 06111-5323

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Jacob H Wayne 14 Kowal Ct, Newington, CT 06111-5323 Registered Nurse 2020-05-01 ~ 2021-04-30
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Kieran J Kilkenny · City of Hartford 22 Kowal Ct, Newington, CT 06111-5323 Electrical Unlimited Contractor 2019-10-01 ~ 2020-09-30
Harry L Simonsen 10 Kowal Ct, Newington, CT 06111-5323 Emergency Medical Technician 2012-12-19 ~ 2016-10-01
William G Hall 37 Pepper Bush Lane, Newington, CT 06111-5323 Real Estate Salesperson 2014-06-01 ~ 2015-05-31
John Sparagna 27 Kowal Ct, Newington, CT 06111-5323 Barber 1993-07-23 ~ 1999-07-31

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Competitor

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City NEWINGTON
Zip Code 06111
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWINGTON

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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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