BRINOUSA D MUDRIC-TIGANU MD
Controlled Substance Registration for Practitioner


Address: 41 Wilderness Dr, Stony Point, NY 10980-3447

BRINOUSA D MUDRIC-TIGANU MD (Credential# 515354) 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

BRINOUSA D MUDRIC-TIGANU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044644. 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 41 Wilderness Dr, Stony Point, NY 10980-3447. The current status is inactive.

Basic Information

Licensee Name BRINOUSA D MUDRIC-TIGANU MD
Credential ID 515354
Credential Number CSP.0044644
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 41 Wilderness Dr
Stony Point
NY 10980-3447
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-10-15
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
561995 1.044413 Physician/Surgeon 2006-06-01 2011-07-01 - 2012-06-30 INACTIVE

Office Location

Street Address 41 WILDERNESS DR
City STONY POINT
State NY
Zip Code 10980-3447

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Competitor

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City STONY POINT
Zip Code 10980
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STONY POINT

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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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