KRYSTIAN KOPEC
Controlled Substance Registration for Practitioner


Address: 31 Stoddard Ave, Newington, CT 06111

KRYSTIAN KOPEC (Credential# 2009598) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 20, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

KRYSTIAN KOPEC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073202. The credential type is controlled substance registration for practitioner. The effective date is February 20, 2020. The expiration date is February 28, 2021. The business address is 31 Stoddard Ave, Newington, CT 06111. The current status is active.

Basic Information

Licensee Name KRYSTIAN KOPEC
Credential ID 2009598
Credential Number CSP.0073202
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 31 Stoddard Ave
Newington
CT 06111
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-02-20
Effective Date 2020-02-20
Expiration Date 2021-02-28
Refresh Date 2020-02-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1994945 23.004744 Physician Assistant 2020-02-19 2020-02-19 - 2020-10-31 ACTIVE

Office Location

Street Address 31 Stoddard Ave
City Newington
State CT
Zip Code 06111

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Amanda Kopec 31 Stoddard Ave, Newington, CT 06111 Registered Nurse 2020-04-03 ~ 2020-10-31

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Anastasya Anisimova 114 Fox Run Court, Newington, CT 06111 Registered Nurse 2020-08-01 ~ 2021-07-31
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Shandea Edwards 21 Hartford Ave #14, Newington, CT 06111 Medication Administration Certification ~
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Competitor

Search similar business entities

City Newington
Zip Code 06111
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Newington

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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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