ROBERT A GRYBOSKI
Controlled Substance Registration for Practitioner


Address: 29 S Ridge Rd, Farmington, CT 06032-3020

ROBERT A GRYBOSKI (Credential# 154360) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

ROBERT A GRYBOSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015942. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 29 S Ridge Rd, Farmington, CT 06032-3020. The current status is inactive.

Basic Information

Licensee Name ROBERT A GRYBOSKI
Credential ID 154360
Credential Number CSP.0015942
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 29 S Ridge Rd
Farmington
CT 06032-3020
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 1999-03-01
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2019-01-09

Other licenses

ID Credential Code Credential Type Issue Term Status
540436 1.012647 Physician/Surgeon 1966-08-01 2012-07-01 - 2013-06-30 INACTIVE

Office Location

Street Address 29 S RIDGE RD
City FARMINGTON
State CT
Zip Code 06032-3020

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Competitor

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City FARMINGTON
Zip Code 06032
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
William A Gryboski Md 289 Great Neck Rd, Niantic, CT 06357 Controlled Substance Registration for Practitioner 1993-08-11 ~ 1995-09-01
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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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