ZENA M FALK
Controlled Substance Registration for Practitioner


Address: 86 Pearl Street, New Haven, CT 06511

ZENA M FALK (Credential# 1269334) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 26, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

ZENA M FALK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059590. The credential type is controlled substance registration for practitioner. The effective date is February 26, 2015. The expiration date is February 28, 2017. The business address is 86 Pearl Street, New Haven, CT 06511. The current status is inactive.

Basic Information

Licensee Name ZENA M FALK
Credential ID 1269334
Credential Number CSP.0059590
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 86 Pearl Street
New Haven
CT 06511
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2015-02-26
Effective Date 2015-02-26
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1267399 23.003288 Physician Assistant 2015-02-20 2016-01-01 - 2016-12-31 INACTIVE

Office Location

Street Address 86 Pearl Street
City New Haven
State CT
Zip Code 06511

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Cary M Tucker 64 Bishop St, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Frank J Pannenborg 505 Ellsworth Ave, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City New Haven
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New Haven

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Stuart Falk Md 123 El Toro Drive, Bristol, CT 06010 Controlled Substance Registration for Practitioner 1994-08-05 ~ 1996-09-01
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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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