Connecticut License


Jurisdiction: Connecticut
Source: Connecticut Department of Consumer Protection

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER · FISKDALE · Search Result

Licensee Name Office Address Credential Effective / Expiration
Meaghan W Krajewski 107 Paradise Ln, Fiskdale, MA 01518-1000 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Christopher R Phillips Pa 331 Trail Rd, Fiskdale, MA 01518 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Kelly Nichole Burgess Tull 22 North Drive, Fiskdale, MA 01518 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Kristen D Morin Pa 489 Main St Apt #45, Fiskdale, MA 01518 Controlled Substance Registration for Practitioner 2005-03-01 ~ 2006-02-28
Kathleen E Titus Pa Po Box 650, Fiskdale, MA 01518 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Evan P Provisor Fiskdale, MA 01518-1043 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28