ROBERT J WASNICK
Controlled Substance Registration for Practitioner


Address: 17 Miller Rd, Darien, CT 06820-3015

ROBERT J WASNICK (Credential# 480393) 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

ROBERT J WASNICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042479. 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 17 Miller Rd, Darien, CT 06820-3015. The current status is active.

Basic Information

Licensee Name ROBERT J WASNICK
Credential ID 480393
Credential Number CSP.0042479
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 17 Miller Rd
Darien
CT 06820-3015
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2007-08-22
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
563330 1.045748 Physician/Surgeon 2007-08-07 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 17 MILLER RD
City DARIEN
State CT
Zip Code 06820-3015

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Competitor

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City DARIEN
Zip Code 06820
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DARIEN

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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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