JOHN BRASSIL HORAK
Controlled Substance Registration for Practitioner


Address: 77 Cherryfield Dr, West Hartford, CT 06107-3312

JOHN BRASSIL HORAK (Credential# 1426222) 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

JOHN BRASSIL HORAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065573. 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 77 Cherryfield Dr, West Hartford, CT 06107-3312. The current status is active.

Basic Information

Licensee Name JOHN BRASSIL HORAK
Credential ID 1426222
Credential Number CSP.0065573
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 77 Cherryfield Dr
West Hartford
CT 06107-3312
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-06-27
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-01

Other licenses

ID Credential Code Credential Type Issue Term Status
1425862 23.003848 Physician Assistant 2017-06-21 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 77 CHERRYFIELD DR
City WEST HARTFORD
State CT
Zip Code 06107-3312

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Competitor

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City WEST HARTFORD
Zip Code 06107
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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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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