MARY C REDMOND PA
Controlled Substance Registration for Practitioner


Address: 4504 Richardson Ave, Bronx, NY 10470

MARY C REDMOND PA (Credential# 414851) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

MARY C REDMOND PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038232. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 4504 Richardson Ave, Bronx, NY 10470. The current status is inactive.

Basic Information

Licensee Name MARY C REDMOND PA
Credential ID 414851
Credential Number CSP.0038232
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4504 Richardson Ave
Bronx
NY 10470
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-09-08
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
743423 23.001674 Physician Assistant 2005-09-02 2009-06-23 - 2010-08-31 INACTIVE

Office Location

Street Address 4504 RICHARDSON AVE
City BRONX
State NY
Zip Code 10470

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Competitor

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City BRONX
Zip Code 10470
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRONX

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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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