MARY H BELNIAK
Controlled Substance Registration for Practitioner


Address: 4 Wiltshire Pl, Farmington, CT 06032-1527

MARY H BELNIAK (Credential# 1175006) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

MARY H BELNIAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055482. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 4 Wiltshire Pl, Farmington, CT 06032-1527. The current status is lapsed.

Basic Information

Licensee Name MARY H BELNIAK
Credential ID 1175006
Credential Number CSP.0055482
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4 Wiltshire Pl
Farmington
CT 06032-1527
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2013-07-23
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Office Location

Street Address 4 WILTSHIRE PL
City FARMINGTON
State CT
Zip Code 06032-1527

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Competitor

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City FARMINGTON
Zip Code 06032
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

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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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