MENA M BAKHT
Controlled Substance Registration for Practitioner


Address: 27 Stanley Rd, Medway, MA 02053-2151

MENA M BAKHT (Credential# 1235182) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

MENA M BAKHT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058179. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 27 Stanley Rd, Medway, MA 02053-2151. The current status is inactive.

Basic Information

Licensee Name MENA M BAKHT
Credential ID 1235182
Credential Number CSP.0058179
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 27 Stanley Rd
Medway
MA 02053-2151
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2014-07-21
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 27 STANLEY RD
City MEDWAY
State MA
Zip Code 02053-2151

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Jamie Parece 2 Autumn Road, Medway, MA 02053 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Competitor

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City MEDWAY
Zip Code 02053
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MEDWAY

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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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