PARVIN KASRAIAN LNM
Controlled Substance Registration for Practitioner


Address: 35 Peck Hill Rd, Woodbridge, CT 06525

PARVIN KASRAIAN LNM (Credential# 164447) 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

PARVIN KASRAIAN LNM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021404. 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 35 Peck Hill Rd, Woodbridge, CT 06525. The current status is active.

Basic Information

Licensee Name PARVIN KASRAIAN LNM
Credential ID 164447
Credential Number CSP.0021404
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 35 Peck Hill Rd
Woodbridge
CT 06525
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 2019-02-15

Office Location

Street Address 35 PECK HILL RD
City WOODBRIDGE
State CT
Zip Code 06525

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Patricia A Kenyon · Leskow 8 Maple Terrace, Woodbridge, CT 06525 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City WOODBRIDGE
Zip Code 06525
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBRIDGE

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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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