MATHEW ALIAS DO
Controlled Substance Registration for Practitioner


Address: 5 King Arthur Way Apt 2, Newington, CT 06111-2228

MATHEW ALIAS DO (Credential# 996771) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 7, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

MATHEW ALIAS DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050082. The credential type is controlled substance registration for practitioner. The effective date is November 7, 2011. The expiration date is February 28, 2013. The business address is 5 King Arthur Way Apt 2, Newington, CT 06111-2228. The current status is inactive.

Basic Information

Licensee Name MATHEW ALIAS DO
Credential ID 996771
Credential Number CSP.0050082
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5 King Arthur Way Apt 2
Newington
CT 06111-2228
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-11-07
Effective Date 2011-11-07
Expiration Date 2013-02-28
Refresh Date 2014-07-24

Other licenses

ID Credential Code Credential Type Issue Term Status
508539 CSP.0043891 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-07-21 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 5 KING ARTHUR WAY APT 2
City NEWINGTON
State CT
Zip Code 06111-2228

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City NEWINGTON
Zip Code 06111
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWINGTON

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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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