MEGAN A MASK
Controlled Substance Registration for Practitioner


Address: 619 Danbury Rd Unit 216, Ridgefield, CT 06877-2754

MEGAN A MASK (Credential# 1213260) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 26, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

MEGAN A MASK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056898. The credential type is controlled substance registration for practitioner. The effective date is June 26, 2015. The expiration date is February 28, 2017. The business address is 619 Danbury Rd Unit 216, Ridgefield, CT 06877-2754. The current status is inactive.

Basic Information

Licensee Name MEGAN A MASK
Credential ID 1213260
Credential Number CSP.0056898
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 619 Danbury Rd Unit 216
Ridgefield
CT 06877-2754
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2014-04-02
Effective Date 2015-06-26
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1201010 23.003077 Physician Assistant 2014-04-02 2016-01-01 - 2016-12-31 INACTIVE

Office Location

Street Address 619 DANBURY RD UNIT 216
City RIDGEFIELD
State CT
Zip Code 06877-2754

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Competitor

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City RIDGEFIELD
Zip Code 06877
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + RIDGEFIELD

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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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