MICHELLE T GRISILLO
Controlled Substance Registration for Practitioner


Address: 1013 Maiden Ter, Kissimmee, FL 34747-4851

MICHELLE T GRISILLO (Credential# 1281763) 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

MICHELLE T GRISILLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060023. 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 1013 Maiden Ter, Kissimmee, FL 34747-4851. The current status is lapsed.

Basic Information

Licensee Name MICHELLE T GRISILLO
Credential ID 1281763
Credential Number CSP.0060023
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1013 Maiden Ter
Kissimmee
FL 34747-4851
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-05-14
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1488509 1.057904-RES Resident Physician 2015-06-28 2015-06-28 - 2018-06-30 INACTIVE

Office Location

Street Address 1013 MAIDEN TER
City KISSIMMEE
State FL
Zip Code 34747-4851

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Competitor

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City KISSIMMEE
Zip Code 34747
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KISSIMMEE

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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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