MARIE A KIERAS-SKIBA
Controlled Substance Registration for Practitioner


Address: 17 Gary School Rd, Putnam, CT 06260-1839

MARIE A KIERAS-SKIBA (Credential# 1288703) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MARIE A KIERAS-SKIBA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060430. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 17 Gary School Rd, Putnam, CT 06260-1839. The current status is active.

Basic Information

Licensee Name MARIE A KIERAS-SKIBA
Credential ID 1288703
Credential Number CSP.0060430
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 17 Gary School Rd
Putnam
CT 06260-1839
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-06-03
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1284876 1.054175 Physician/Surgeon 2015-05-29 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 17 GARY SCHOOL RD
City PUTNAM
State CT
Zip Code 06260-1839

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June Elizabeth Foley 4 Libertyhighway, Putnam, CT 06260 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City PUTNAM
Zip Code 06260
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PUTNAM

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Marie De Alwis 282 Washington St, Hartford, CT 06106-3322 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
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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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