SEVERINO J MATA MATA
Controlled Substance Registration for Practitioner


Address: 55 Brittany Farms Rd Apt 213, New Britain, CT 06053-1203

SEVERINO J MATA MATA (Credential# 1301791) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 27, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

SEVERINO J MATA MATA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061096. The credential type is controlled substance registration for practitioner. The effective date is July 27, 2015. The expiration date is February 28, 2017. The business address is 55 Brittany Farms Rd Apt 213, New Britain, CT 06053-1203. The current status is inactive.

Basic Information

Licensee Name SEVERINO J MATA MATA
Credential ID 1301791
Credential Number CSP.0061096
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 55 Brittany Farms Rd Apt 213
New Britain
CT 06053-1203
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2015-07-27
Effective Date 2015-07-27
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 55 BRITTANY FARMS RD APT 213
City NEW BRITAIN
State CT
Zip Code 06053-1203

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Competitor

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City NEW BRITAIN
Zip Code 06053
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW BRITAIN

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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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