STEFANIE G BREITENSTEIN
Controlled Substance Registration for Practitioner


Address: 16 Megan Lane, Wallingford, CT 06492

STEFANIE G BREITENSTEIN (Credential# 380818) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

STEFANIE G BREITENSTEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036158. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 16 Megan Lane, Wallingford, CT 06492. The current status is inactive.

Basic Information

Licensee Name STEFANIE G BREITENSTEIN
Credential ID 380818
Credential Number CSP.0036158
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 16 Megan Lane
Wallingford
CT 06492
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-09-29
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Office Location

Street Address 16 MEGAN LANE
City WALLINGFORD
State CT
Zip Code 06492

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Competitor

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City WALLINGFORD
Zip Code 06492
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALLINGFORD

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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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