DIANE M REALI MARINI MD
Controlled Substance Registration for Practitioner


Address: 5 Doe Run, Coventry, RI 02816-4712

DIANE M REALI MARINI MD (Credential# 979528) 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

DIANE M REALI MARINI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049473. 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 5 Doe Run, Coventry, RI 02816-4712. The current status is inactive.

Basic Information

Licensee Name DIANE M REALI MARINI MD
Credential ID 979528
Credential Number CSP.0049473
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5 Doe Run
Coventry
RI 02816-4712
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-12-23
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
969321 1.049403 Physician/Surgeon 2010-12-17 2013-08-01 - 2014-07-31 INACTIVE

Office Location

Street Address 5 DOE RUN
City COVENTRY
State RI
Zip Code 02816-4712

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Ronald J Miller 76 Wright Way, Coventry, RI 02816 Licensed Clinical Social Worker 2020-09-01 ~ 2021-08-31
Brittany Dalphonse 7 Boulder Drive, Coventry, RI 02816 Registered Nurse 2020-07-01 ~ 2021-06-30
Michael J Pariseau 31b Reservoir Road, Coventry, RI 02816 Repairer of Weighing & Measuring Devices 2020-06-08 ~ 2020-12-31
Georgia Rae Pelletier 1524 Victory Highway, Coventry, RI 02816 Registered Nurse - Temporary 2020-02-04 ~ 2020-06-03
Donna R Becker 4 Meredith Dr, Coventry, RI 02816 Registered Nurse 2020-09-01 ~ 2021-08-31
Amanda Elizabeth Terenzi 17 Arrowwood Drive, Coventry, RI 02816 Master's Level Social Worker 2020-06-01 ~ 2021-05-31
Morgan Nielsen 1 Wilshire Way, Coventry, RI 02816 Registered Nurse 2020-05-01 ~ 2021-04-30
Tracy Keresztessy 14 Kiley Way, Coventry, RI 02816 Registered Nurse 2020-04-16 ~ 2020-11-30
Alison Catherine Hebert 11 Mashie Circle, Coventry, RI 02816 Respiratory Care Practitioner 2020-04-14 ~ 2021-04-30
Kennedy Ariana Rachiele 6 Melrose Drive, Coventry, RI 02816 Registered Nurse 2020-05-01 ~ 2021-04-30
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Competitor

Search similar business entities

City COVENTRY
Zip Code 02816
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COVENTRY

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Diane D Timms Do 216 Wilderness Way, Bristol, CT 06010 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
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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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