MARTHA L BANKHEAD APRN
Controlled Substance Registration for Practitioner


Address: 28 Wesleyan Road, Glastonbury, CT 06033

MARTHA L BANKHEAD APRN (Credential# 158080) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 13, 1994. The license expiration date date is July 1, 1996. The license status is INACTIVE.

Business Overview

MARTHA L BANKHEAD APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018857. The credential type is controlled substance registration for practitioner. The effective date is June 13, 1994. The expiration date is July 1, 1996. The business address is 28 Wesleyan Road, Glastonbury, CT 06033. The current status is inactive.

Basic Information

Licensee Name MARTHA L BANKHEAD APRN
Credential ID 158080
Credential Number CSP.0018857
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 28 Wesleyan Road
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-06-13
Expiration Date 1996-07-01
Refresh Date 2009-01-26

Office Location

Street Address 28 WESLEYAN ROAD
City GLASTONBURY
State CT
Zip Code 06033

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Competitor

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City GLASTONBURY
Zip Code 06033
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY

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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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