MARISSA M LAVIN
Controlled Substance Registration for Practitioner


Address: 38 Elder St, Milford, CT 06460-6464

MARISSA M LAVIN (Credential# 1371420) 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 M LAVIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063762. 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 38 Elder St, Milford, CT 06460-6464. The current status is active.

Basic Information

Licensee Name MARISSA M LAVIN
Credential ID 1371420
Credential Number CSP.0063762
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 38 Elder St
Milford
CT 06460-6464
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-08-10
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1067584 10.106446 Registered Nurse 2012-07-03 2020-01-01 - 2020-12-31 ACTIVE
1363555 12.006635 Advanced Practice Registered Nurse 2016-08-08 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 38 ELDER ST
City MILFORD
State CT
Zip Code 06460-6464

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Milford Lions Charities Inc 46 Elder St, Milford, CT 06460-6464 Raffle Permit Class 5 2015-12-24 ~ 2016-02-20

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Robert J Colum 61 Melba St, Milford, CT 06460 Professional Engineer 2020-06-16 ~ 2021-01-31
James E Phillips 88 Noble Ave, Milford, CT 06460 Physician/surgeon 2020-07-01 ~ 2021-06-30
Douglas H Gruber 33 Lincoln Ave, Milford, CT 06460 Licensed Alcohol and Drug Counselor 2020-06-01 ~ 2021-05-31
Christine D Rettig 1 Schooner Lane, Milford, CT 06460 Physical Therapist 2020-07-01 ~ 2021-06-30
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Kelli-ann Armstrong 50 Cherry Street, Milford, CT 06460 Optometrist 2020-07-01 ~ 2021-06-30
Mary C Cohen 9 Stevens Street, Milford, CT 06460 Notary Public Appointment 2020-07-01 ~ 2025-06-30
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Competitor

Search similar business entities

City MILFORD
Zip Code 06460
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MILFORD

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Marissa D Foster 835 Mix Ave #411, Hamden, CT 06514 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
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Marissa Tennant 365 Montauk Ave, New London, CT 06320 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Marissa C Bayerl 374 Grand Ave, New Haven, CT 06513-3733 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Marissa L Stankus 244 Parklawn Dr, Waterbury, CT 06708-2349 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Heather M Hurlburt Md 4 Marissa Circle, Worcester, MA 01604 Controlled Substance Registration for Practitioner 2006-10-10 ~ 2007-02-28
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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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