MARK MIKHITARIAN
Controlled Substance Registration for Practitioner


Address: 750 Summer St Apt 403, Stamford, CT 06901-1046

MARK MIKHITARIAN (Credential# 1452570) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 5, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

MARK MIKHITARIAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066839. The credential type is controlled substance registration for practitioner. The effective date is October 5, 2017. The expiration date is February 28, 2019. The business address is 750 Summer St Apt 403, Stamford, CT 06901-1046. The current status is lapsed.

Basic Information

Licensee Name MARK MIKHITARIAN
Credential ID 1452570
Credential Number CSP.0066839
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 750 Summer St Apt 403
Stamford
CT 06901-1046
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2017-10-05
Effective Date 2017-10-05
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other locations

Licensee Name Office Address Credential Effective / Expiration
Mark Mikhitarian 750 Summer Street #403, Norwalk, CT 06850 Resident Physician 2017-06-19 ~ 2018-06-18

Office Location

Street Address 750 SUMMER ST APT 403
City STAMFORD
State CT
Zip Code 06901-1046

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Competitor

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City STAMFORD
Zip Code 06901
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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