LAUREN GRACE GRISKA
Controlled Substance Registration for Practitioner


Address: 47 Squire St Apt 2, New London, CT 06320-4841

LAUREN GRACE GRISKA (Credential# 1435752) 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

LAUREN GRACE GRISKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066169. 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 47 Squire St Apt 2, New London, CT 06320-4841. The current status is active.

Basic Information

Licensee Name LAUREN GRACE GRISKA
Credential ID 1435752
Credential Number CSP.0066169
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 47 Squire St Apt 2
New London
CT 06320-4841
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-07-08
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1425737 23.003876 Physician Assistant 2017-07-06 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 47 SQUIRE ST APT 2
City NEW LONDON
State CT
Zip Code 06320-4841

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St Joseph School Hsa 25 Squire St, New London, CT 06320-4841 Raffle Permit Class 5 2017-09-01 ~ 2017-12-10
Mark D. O'donnell 17 Squire St., New London, CT 06320-4841 Honey Bee Registration 2016-01-01 ~ 2017-12-31
St Joseph Church Corporation of New London 17 Squire St, New London, CT 06320-4841 Raffle Permit Class 1 2013-09-09 ~ 2013-11-03
Francis C Rouleau 17 Squire Street, New London, CT 06320-4841 Licensed Alcohol and Drug Counselor 2002-01-07 ~ 2003-02-28

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Competitor

Search similar business entities

City NEW LONDON
Zip Code 06320
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW LONDON

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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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