LYNN MANGINI
Controlled Substance Registration for Practitioner


Address: 9 Wintergreen Ln, Avon, CT 06001

LYNN MANGINI (Credential# 159480) 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

LYNN MANGINI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019241. 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 9 Wintergreen Ln, Avon, CT 06001. The current status is active.

Basic Information

Licensee Name LYNN MANGINI
Credential ID 159480
Credential Number CSP.0019241
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 9 Wintergreen Ln
Avon
CT 06001
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
549264 1.031529 Physician/Surgeon 1991-05-03 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 9 WINTERGREEN LN
City AVON
State CT
Zip Code 06001

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Competitor

Search similar business entities

City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

Similar businesses

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Kathleen M Mangini 15 Morningside Ter, Wallingford, CT 06492-4633 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Lynn A D'andrea 403 Whitney, New Haven, CT 06511 Controlled Substance Registration for Practitioner 1994-06-03 ~ 1996-06-01
Lynn S Model 906 1/2 State St, New Haven, CT 06511 Controlled Substance Registration for Practitioner 2013-04-04 ~ 2015-02-28
Lynn M Smith 3 Coach Dr, Old Lyme, CT 06371-1354 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Michael J Boquard Md 20 Lynn Dr, Ledyard, CT 06332 Controlled Substance Registration for Practitioner 1997-03-01 ~ 1998-02-28
Lynn T Tanoue 333 Cedar St # Bb-110, New Haven, CT 06510-3206 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Lynn M Stramaglia 4 Flint St, Trumbull, CT 06611-3026 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Lynn W Reiser Md Po Box 187039, Hamden, CT 06518 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Lynn K Davis Md 273 Founders Rd, Glastonbury, CT 06033-3213 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28

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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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