MARIE E CAMPAGNA
Controlled Substance Registration for Practitioner


Address: 16 Lacy Ln, Albany, NY 12211-2314

MARIE E CAMPAGNA (Credential# 1281632) 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

MARIE E CAMPAGNA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059967. 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 16 Lacy Ln, Albany, NY 12211-2314. The current status is active.

Basic Information

Licensee Name MARIE E CAMPAGNA
Credential ID 1281632
Credential Number CSP.0059967
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 16 Lacy Ln
Albany
NY 12211-2314
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-06-10
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-09

Other licenses

ID Credential Code Credential Type Issue Term Status
1488377 1.057772-RES Resident Physician 2015-06-28 2018-06-28 - 2020-06-30 ACTIVE

Office Location

Street Address 16 LACY LN
City ALBANY
State NY
Zip Code 12211-2314

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Competitor

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City ALBANY
Zip Code 12211
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ALBANY

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Marie Brady Pa 40 Prospect St, 1-2h, Norwalk, CT 06850 Controlled Substance Registration for Practitioner 1993-11-10 ~ 1995-07-01
Anne Marie A Roe Md 824 Palmer Rd Apt 3c, Bronxville, NY 10708-3318 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Marie De Alwis 282 Washington St, Hartford, CT 06106-3322 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
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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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