JEREMY D MARKS
Controlled Substance Registration for Practitioner


Address: 29 Johnsons Pt Rd, Branford, CT 06405

JEREMY D MARKS (Credential# 159152) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 20, 1993. The license expiration date date is January 1, 1996. The license status is INACTIVE.

Business Overview

JEREMY D MARKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018144. The credential type is controlled substance registration for practitioner. The effective date is December 20, 1993. The expiration date is January 1, 1996. The business address is 29 Johnsons Pt Rd, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name JEREMY D MARKS
Credential ID 159152
Credential Number CSP.0018144
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 29 Johnsons Pt Rd
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1993-12-20
Expiration Date 1996-01-01
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
548710 1.030806 Physician/Surgeon 1990-05-25 1993-02-25 - 1994-02-28 INACTIVE

Office Location

Street Address 29 JOHNSONS PT RD
City BRANFORD
State CT
Zip Code 06405

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Competitor

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City BRANFORD
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD

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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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