MARISSA A NOVACK
Controlled Substance Registration for Practitioner


Address: 120 Morgan St Apt 401b, Stamford, CT 06905-5438

MARISSA A NOVACK (Credential# 1359795) 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

MARISSA A NOVACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063099. 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 120 Morgan St Apt 401b, Stamford, CT 06905-5438. The current status is active.

Basic Information

Licensee Name MARISSA A NOVACK
Credential ID 1359795
Credential Number CSP.0063099
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 120 Morgan St Apt 401b
Stamford
CT 06905-5438
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-06-16
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Office Location

Street Address 120 MORGAN ST APT 401B
City STAMFORD
State CT
Zip Code 06905-5438

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David A Comstock 120 Morgan St Apt 409b, Stamford, CT 06905-5438 Emergency Medical Technician ~
Marcia A Smith 120 Morgan St Apt 411, Stamford, CT 06905-5438 Registered Nurse - Temporary 2012-10-03 ~ 2013-01-31

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Competitor

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City STAMFORD
Zip Code 06905
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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