TANYA L T FEKE MD
Controlled Substance Registration for Practitioner


Address: 15 Park Pl, Durham, CT 06422-3413

TANYA L T FEKE MD (Credential# 443796) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

TANYA L T FEKE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039483. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 15 Park Pl, Durham, CT 06422-3413. The current status is inactive.

Basic Information

Licensee Name TANYA L T FEKE MD
Credential ID 443796
Credential Number CSP.0039483
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 15 Park Pl
Durham
CT 06422-3413
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-07-17
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
562085 1.044503 Physician/Surgeon 2006-06-23 2013-02-01 - 2014-01-31 INACTIVE

Office Location

Street Address 15 PARK PL
City DURHAM
State CT
Zip Code 06422-3413

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Competitor

Search similar business entities

City DURHAM
Zip Code 06422
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DURHAM

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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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