MICHELE MAUTINO DVM
Controlled Substance Registration for Practitioner


Address: 51 Jericho Dr, Old Lyme, CT 06371

MICHELE MAUTINO DVM (Credential# 260868) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

MICHELE MAUTINO DVM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030513. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 51 Jericho Dr, Old Lyme, CT 06371. The current status is inactive.

Basic Information

Licensee Name MICHELE MAUTINO DVM
Credential ID 260868
Credential Number CSP.0030513
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 51 Jericho Dr
Old Lyme
CT 06371
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2008-03-01
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
772472 47.002798 Veterinarian 2001-01-10 2006-08-09 - 2007-09-30 PENDING

Office Location

Street Address 51 JERICHO DR
City OLD LYME
State CT
Zip Code 06371

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Competitor

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City OLD LYME
Zip Code 06371
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OLD LYME

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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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