ASHLEY E MARTIN PA
Controlled Substance Registration for Practitioner


Address: 319 New Britain Rd Apt 317, Berlin, CT 06037-1365

ASHLEY E MARTIN PA (Credential# 901403) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

ASHLEY E MARTIN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046903. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 319 New Britain Rd Apt 317, Berlin, CT 06037-1365. The current status is inactive.

Basic Information

Licensee Name ASHLEY E MARTIN PA
Credential ID 901403
Credential Number CSP.0046903
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 319 New Britain Rd Apt 317
Berlin
CT 06037-1365
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-11-18
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
896504 23.002331 Physician Assistant 2009-09-30 2013-03-01 - 2014-02-28 INACTIVE

Office Location

Street Address 319 NEW BRITAIN RD APT 317
City BERLIN
State CT
Zip Code 06037-1365

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Stephanie M Sadlowski 28 Cynthia Drive, Kensington, CT 06037 Registered Nurse 2020-08-01 ~ 2021-07-31
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Constantine S Buonanno Dmd 1105 Farmington Ave, Kensington, CT 06037 Dentist 2020-04-01 ~ 2021-03-31
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Competitor

Search similar business entities

City BERLIN
Zip Code 06037
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BERLIN

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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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