MARK G SPEAKER MD
Controlled Substance Registration for Practitioner


Address: 15 Bayberry Ln, Greenwich, CT 06831-3008

MARK G SPEAKER MD (Credential# 530161) 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

MARK G SPEAKER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045378. 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 15 Bayberry Ln, Greenwich, CT 06831-3008. The current status is inactive.

Basic Information

Licensee Name MARK G SPEAKER MD
Credential ID 530161
Credential Number CSP.0045378
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 15 Bayberry Ln
Greenwich
CT 06831-3008
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-04-22
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
554842 1.037252 Physician/Surgeon 1998-09-18 2010-08-01 - 2011-07-31 INACTIVE

Office Location

Street Address 15 BAYBERRY LN
City GREENWICH
State CT
Zip Code 06831-3008

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Competitor

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City GREENWICH
Zip Code 06831
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GREENWICH

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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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