MARTHA GRAJEWSKI
Controlled Substance Registration for Practitioner


Address: 36 Old Cider Mill Rd, Southington, CT 06489-1873

MARTHA GRAJEWSKI (Credential# 423209) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MARTHA GRAJEWSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038600. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 36 Old Cider Mill Rd, Southington, CT 06489-1873. The current status is active.

Basic Information

Licensee Name MARTHA GRAJEWSKI
Credential ID 423209
Credential Number CSP.0038600
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 36 Old Cider Mill Rd
Southington
CT 06489-1873
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-12-06
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-15

Other licenses

ID Credential Code Credential Type Issue Term Status
743438 23.001689 Physician Assistant 2005-09-29 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 36 OLD CIDER MILL RD
City SOUTHINGTON
State CT
Zip Code 06489-1873

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Competitor

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City SOUTHINGTON
Zip Code 06489
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHINGTON

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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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