MARNIE B FREY
Controlled Substance Registration for Practitioner


Address: 1300 Mill Hill Road, Southport, CT 06890

MARNIE B FREY (Credential# 488971) 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

MARNIE B FREY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042890. 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 1300 Mill Hill Road, Southport, CT 06890. The current status is active.

Basic Information

Licensee Name MARNIE B FREY
Credential ID 488971
Credential Number CSP.0042890
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1300 Mill Hill Road
Southport
CT 06890
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2007-11-28
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-16

Other licenses

ID Credential Code Credential Type Issue Term Status
681885 12.003707 Advanced Practice Registered Nurse 2007-11-06 2019-12-01 - 2020-11-30 ACTIVE
579312 10.075309 Registered Nurse 2005-04-01 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 1300 Mill Hill Road
City SOUTHPORT
State CT
Zip Code 06890

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Peter H Ventriglia 60 Chester Pl, Southport, CT 06890 Real Estate Salesperson 2020-06-16 ~ 2021-05-31
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Competitor

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City SOUTHPORT
Zip Code 06890
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHPORT

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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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