DARREN E MARTIN MD
Controlled Substance Registration for Practitioner


Address: 4700 West Village Crossing, Smyrna, GA 30080

DARREN E MARTIN MD (Credential# 483766) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

DARREN E MARTIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042659. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 4700 West Village Crossing, Smyrna, GA 30080. The current status is inactive.

Basic Information

Licensee Name DARREN E MARTIN MD
Credential ID 483766
Credential Number CSP.0042659
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4700 West Village Crossing
Smyrna
GA 30080
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-09-27
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
563259 1.045677 Physician/Surgeon 2007-07-19 2011-03-01 - 2012-02-29 INACTIVE

Office Location

Street Address 4700 West Village Crossing
City Smyrna
State GA
Zip Code 30080

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Competitor

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City Smyrna
Zip Code 30080
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Smyrna

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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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