TERESA A MARTINEZ
Controlled Substance Registration for Practitioner


Address: 198 Brookdale Rd, Stamford, CT 06903-4130

TERESA A MARTINEZ (Credential# 1492260) 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

TERESA A MARTINEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067441. 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 198 Brookdale Rd, Stamford, CT 06903-4130. The current status is active.

Basic Information

Licensee Name TERESA A MARTINEZ
Credential ID 1492260
Credential Number CSP.0067441
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 198 Brookdale Rd
Stamford
CT 06903-4130
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-07-09
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-05-16

Other licenses

ID Credential Code Credential Type Issue Term Status
1321021 47.004241 Veterinarian 2016-08-19 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address 198 BROOKDALE RD
City STAMFORD
State CT
Zip Code 06903-4130

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Competitor

Search similar business entities

City STAMFORD
Zip Code 06903
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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