MARANDA W. REED
Controlled Substance Registration for Practitioner


Address: 41 Brewster Road, Bristol, CT 06010

MARANDA W. REED (Credential# 1073191) 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

MARANDA W. REED is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052465. 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 41 Brewster Road, Bristol, CT 06010. The current status is inactive.

Basic Information

Licensee Name MARANDA W. REED
Credential ID 1073191
Credential Number CSP.0052465
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 41 Brewster Road
Bristol
CT 06010
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-06-27
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1068854 1.051050 Physician/Surgeon 2012-06-18 2013-04-01 - 2014-03-31 INACTIVE

Office Location

Street Address 41 BREWSTER ROAD
City BRISTOL
State CT
Zip Code 06010

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Anthony P Depalma 41 Brewster Road, Bristol, CT 06010 Physician/surgeon 2020-06-01 ~ 2021-05-31
Salam Zakko 41 Brewster Road, Bristol, CT 06010-5132 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Erica Ryan Stolarz 41 Brewster Road, Bristol, CT 06010 Controlled Substance Registration for Practitioner 2020-02-06 ~ 2021-02-28
Waile Ramadan 41 Brewster Road, Bristol, CT 06010 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Matthew K Smith 41 Brewster Road, Bristol, CT 06010 Physician/surgeon 2014-05-01 ~ 2015-04-30
Asher S Wang · Xinsheng Wang 41 Brewster Road, Bristol, CT 06010 Physician/surgeon 2012-06-14 ~ 2013-10-31

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Competitor

Search similar business entities

City BRISTOL
Zip Code 06010
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL

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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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