STEVEN L MANCINI
Controlled Substance Registration for Practitioner


Address: 137 High Service Ave, North Providence, RI 02911-3006

STEVEN L MANCINI (Credential# 337632) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

STEVEN L MANCINI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033578. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 137 High Service Ave, North Providence, RI 02911-3006. The current status is inactive.

Basic Information

Licensee Name STEVEN L MANCINI
Credential ID 337632
Credential Number CSP.0033578
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 137 High Service Ave
North Providence
RI 02911-3006
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
558980 1.041397 Physician/Surgeon 2003-04-25 2011-05-01 - 2012-04-30 INACTIVE

Office Location

Street Address 137 HIGH SERVICE AVE
City NORTH PROVIDENCE
State RI
Zip Code 02911-3006

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Competitor

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City NORTH PROVIDENCE
Zip Code 02911
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH PROVIDENCE

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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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