MARINA KLOYZNER
Controlled Substance Registration for Practitioner


Address: 45 Crescent St, Middletown, CT 06457-3601

MARINA KLOYZNER (Credential# 1284195) 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

MARINA KLOYZNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060219. 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 45 Crescent St, Middletown, CT 06457-3601. The current status is active.

Basic Information

Licensee Name MARINA KLOYZNER
Credential ID 1284195
Credential Number CSP.0060219
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 45 Crescent St
Middletown
CT 06457-3601
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-05-13
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1263875 1.053933 Physician/Surgeon 2015-03-16 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 45 CRESCENT ST
City MIDDLETOWN
State CT
Zip Code 06457-3601

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Competitor

Search similar business entities

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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Marina L Blagodatny Md 100 Cedar Heights Rd, Stamford, CT 06905 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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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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