TYLER MADDOX
Controlled Substance Registration for Practitioner


Address: 11 Allen St Apt 3, Mystic, CT 06355-2972

TYLER MADDOX (Credential# 1666241) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 5, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

TYLER MADDOX is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071399. The credential type is controlled substance registration for practitioner. The effective date is June 5, 2019. The expiration date is February 28, 2021. The business address is 11 Allen St Apt 3, Mystic, CT 06355-2972. The current status is active.

Basic Information

Licensee Name TYLER MADDOX
Credential ID 1666241
Credential Number CSP.0071399
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 11 Allen St Apt 3
Mystic
CT 06355-2972
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-06-05
Effective Date 2019-06-05
Expiration Date 2021-02-28
Refresh Date 2019-06-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1637727 47.004521 Veterinarian 2019-06-04 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 11 ALLEN ST APT 3
City MYSTIC
State CT
Zip Code 06355-2972

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Competitor

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City MYSTIC
Zip Code 06355
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MYSTIC

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Tyler J. West 84 Doane Rd, Ware, MA 01082-9387 Controlled Substance Registration for Practitioner 2013-04-02 ~ 2015-02-28
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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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