LAURY ROSEFORT
Controlled Substance Registration for Practitioner


Address: 185 Thomas St, Bloomfield, NJ 07003-2504

LAURY ROSEFORT (Credential# 1524096) 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

LAURY ROSEFORT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068694. 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 185 Thomas St, Bloomfield, NJ 07003-2504. The current status is active.

Basic Information

Licensee Name LAURY ROSEFORT
Credential ID 1524096
Credential Number CSP.0068694
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 185 Thomas St
Bloomfield
NJ 07003-2504
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-06-15
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
1465321 1.057291 Physician/Surgeon 2018-01-17 2019-11-01 - 2020-10-31 ACTIVE
1079866 CSP.0052808 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-07-18 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 185 THOMAS ST
City BLOOMFIELD
State NJ
Zip Code 07003-2504

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Zenon Markewycz II 17 Lackawanna Place, Bloomfield, NJ 07003 Professional Engineer 2014-02-24 ~ 2015-01-31
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Competitor

Search similar business entities

City BLOOMFIELD
Zip Code 07003
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD

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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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