DARYLE A RUARK
Controlled Substance Registration for Practitioner


Address: 202 Twin Hills Dr, Longmeadow, MA 01106-2954

DARYLE A RUARK (Credential# 1286758) 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

DARYLE A RUARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060318. 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 202 Twin Hills Dr, Longmeadow, MA 01106-2954. The current status is active.

Basic Information

Licensee Name DARYLE A RUARK
Credential ID 1286758
Credential Number CSP.0060318
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 202 Twin Hills Dr
Longmeadow
MA 01106-2954
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-05-26
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
1265941 1.054150 Physician/Surgeon 2015-05-20 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 202 TWIN HILLS DR
City LONGMEADOW
State MA
Zip Code 01106-2954

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Competitor

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City LONGMEADOW
Zip Code 01106
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONGMEADOW

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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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