CHRISTIAN G HEINIS
Controlled Substance Registration for Practitioner


Address: 292 Lincoln St, Worcester, MA 01605-2106

CHRISTIAN G HEINIS (Credential# 1375376) 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

CHRISTIAN G HEINIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063899. 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 292 Lincoln St, Worcester, MA 01605-2106. The current status is active.

Basic Information

Licensee Name CHRISTIAN G HEINIS
Credential ID 1375376
Credential Number CSP.0063899
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 292 Lincoln St
Worcester
MA 01605-2106
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-08-25
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-31

Other licenses

ID Credential Code Credential Type Issue Term Status
1164596 1.052378 Physician/Surgeon 2013-09-03 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 292 LINCOLN ST
City WORCESTER
State MA
Zip Code 01605-2106

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Mark S Distefano 292 Lincoln Street, Worcester, MA 01605 Physician/surgeon 2019-06-01 ~ 2020-05-31
Supriya K. Atianand 16 Cadorna Road, Worcester, MA 01605 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
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Competitor

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City WORCESTER
Zip Code 01605
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WORCESTER

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Rahn K Bailey 333 Christian St, Wallingford, CT 06492 Controlled Substance Registration for Practitioner 1994-08-16 ~ 1996-07-01
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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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