EDWIN CZOVEK
Controlled Substance Registration for Practitioner


Address: 318 Westwood Rd, Bristol, CT 06010-8953

EDWIN CZOVEK (Credential# 503499) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

EDWIN CZOVEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043554. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 318 Westwood Rd, Bristol, CT 06010-8953. The current status is lapsed.

Basic Information

Licensee Name EDWIN CZOVEK
Credential ID 503499
Credential Number CSP.0043554
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 318 Westwood Rd
Bristol
CT 06010-8953
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2008-05-29
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
743842 23.002093 Physician Assistant 2008-04-25 2017-10-01 - 2018-09-30 INACTIVE

Office Location

Street Address 318 WESTWOOD RD
City BRISTOL
State CT
Zip Code 06010-8953

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Karen L Miller 390 Westwood Rd, Bristol, CT 06010-8953 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Kimberly C Higginbotham 344 Westwood Rd, Bristol, CT 06010-8953 Real Estate Salesperson 2011-06-30 ~ 2012-05-31

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Competitor

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City BRISTOL
Zip Code 06010
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL

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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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