GERY F HABANSKY
Controlled Substance Registration for Practitioner


Address: 1478 Post Rd., Fairfield, CT 06824

GERY F HABANSKY (Credential# 143043) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

GERY F HABANSKY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0006548. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 1478 Post Rd., Fairfield, CT 06824. The current status is inactive.

Basic Information

Licensee Name GERY F HABANSKY
Credential ID 143043
Credential Number CSP.0006548
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1478 Post Rd.
Fairfield
CT 06824
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
700310 2.004220 Dentist 1969-12-02 2009-06-15 - 2010-07-31 INACTIVE

Office Location

Street Address 1478 Post Rd.
City FAIRFIELD
State CT
Zip Code 06824

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City FAIRFIELD
Zip Code 06824
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD

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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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