ELIZABETH JEAN FEDORKO
Controlled Substance Registration for Practitioner


Address: Po Box 599, Brookfield, CT 06804-0599

ELIZABETH JEAN FEDORKO (Credential# 1351586) 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

ELIZABETH JEAN FEDORKO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062563. 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 599, Brookfield, CT 06804-0599. The current status is active.

Basic Information

Licensee Name ELIZABETH JEAN FEDORKO
Credential ID 1351586
Credential Number CSP.0062563
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Po Box 599
Brookfield
CT 06804-0599
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-06-08
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1294013 47.004096 Veterinarian 2015-06-29 2019-06-01 - 2020-05-31 ACTIVE

Office Location

Street Address PO BOX 599
City BROOKFIELD
State CT
Zip Code 06804-0599

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Ron Gaeta Dvm Po Box 599, Brookfield, CT 06804 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Jonna L Fulton Po Box 599, Brookfield, CT 06804-0599 Controlled Substance Registration for Practitioner 2015-07-02 ~ 2017-02-28

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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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