EVANGELINE MARINO APRN
Controlled Substance Registration for Practitioner


Address: 1515 Aspen Glen Dr, Hamden, CT 06518

EVANGELINE MARINO APRN (Credential# 211653) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.

Business Overview

EVANGELINE MARINO APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028111. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2002. The expiration date is February 28, 2003. The business address is 1515 Aspen Glen Dr, Hamden, CT 06518. The current status is inactive.

Basic Information

Licensee Name EVANGELINE MARINO APRN
Credential ID 211653
Credential Number CSP.0028111
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1515 Aspen Glen Dr
Hamden
CT 06518
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2002-03-01
Expiration Date 2003-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
680214 12.002036 Advanced Practice Registered Nurse 1999-03-12 2001-11-02 - 2002-12-31 INACTIVE
652388 10.R52642 Registered Nurse 1996-05-03 2002-03-20 - 2002-12-31 INACTIVE

Office Location

Street Address 1515 ASPEN GLEN DR
City HAMDEN
State CT
Zip Code 06518

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Competitor

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City HAMDEN
Zip Code 06518
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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Robert E Sax 2754 Monterey Rd, San Marino, CA 91108 Controlled Substance Registration for Practitioner 1993-01-15 ~ 1995-02-01
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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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