MARISSA DE FREESE
Controlled Substance Registration for Practitioner


Address: 29 Hospital Plaza, Stamford, CT 06902

MARISSA DE FREESE (Credential# 894721) 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

MARISSA DE FREESE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046520. 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 29 Hospital Plaza, Stamford, CT 06902. The current status is lapsed.

Basic Information

Licensee Name MARISSA DE FREESE
Credential ID 894721
Credential Number CSP.0046520
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 29 Hospital Plaza
Stamford
CT 06902
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2009-09-25
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
565498 1.047916 Physician/Surgeon 2009-07-02 2018-01-01 - 2018-12-31 INACTIVE

Office Location

Street Address 29 HOSPITAL PLAZA
City STAMFORD
State CT
Zip Code 06902

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Michael A. Bernstein Md 29 Hospital Plaza, Stamford, CT 06902 Physician/surgeon 2020-06-01 ~ 2021-05-31
Sandhya Dhruvakumar 29 Hospital Plaza, Stamford, CT 06902-3733 Physician/surgeon 2020-04-01 ~ 2021-03-31
Gary S. Besser 29 Hospital Plaza, Stamford, CT 06902-3633 Physician/surgeon 2020-04-01 ~ 2021-03-31
George E Heading 29 Hospital Plaza, Stamford, CT 06902 Physician/surgeon 2020-03-01 ~ 2021-02-28
David K Hahn 29 Hospital Plaza, Stamford, CT 06902-3661 Physician/surgeon 2020-03-01 ~ 2021-02-28
Asha K Shah 29 Hospital Plaza, Stamford, CT 06902-3661 Physician/surgeon 2020-03-01 ~ 2021-02-28
Scott R Martin 29 Hospital Plaza, Stamford, CT 06902 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Michael I Ebright 29 Hospital Plaza, Stamford, CT 06902 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Michael A Coady 29 Hospital Plaza, Stamford, CT 06902-2594 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Caroline M Gulati 29 Hospital Plaza, Stamford, CT 06902 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Find all Licenses in the same address

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jeris Maydeli Flores 153 Fairfield Av, Stamford, CT 06902 Nail Technician ~
Reynaldo De La Cruz 64 Brookside Drive, Stamford, CT 06902 Registered Nurse 2020-08-01 ~ 2021-07-31
Darren J Petillo 5 Hundley Court, Stamford, CT 06902 Licensed Clinical Social Worker 2020-09-01 ~ 2021-08-31
Antonios Restaurant 405 West Main St, Stamford, CT 06902 Bakery 2020-07-01 ~ 2021-06-30
Edward Smith 184 Fairfield Ave., Stamford, CT 06902 Home Improvement Contractor ~
Margaret A Dorrance 24c Hamilton Court, Stamford, CT 06902 Registered Nurse 2020-07-01 ~ 2021-06-30
Carolyn Maguire 48 Nelson St, Stamford, CT 06902 Registered Nurse 2020-07-01 ~ 2021-06-30
Evelyne Joassin 17 George St., Stamford, CT 06902 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Andrea Bynoe 34 Melrose Pl, Stamford, CT 06902 Notary Public Appointment 1994-04-06 ~ 1999-04-30
Ravi K Ahuja 296 Westover Rd, Stamford, CT 06902 Architect 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06902

Competitor

Search similar business entities

City STAMFORD
Zip Code 06902
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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