SAMANTHA M GENOVESE
Controlled Substance Registration for Practitioner


Address: 3 Ric Ct, North Branford, CT 06471

SAMANTHA M GENOVESE (Credential# 1441756) 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

SAMANTHA M GENOVESE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066537. 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 3 Ric Ct, North Branford, CT 06471. The current status is active.

Basic Information

Licensee Name SAMANTHA M GENOVESE
Credential ID 1441756
Credential Number CSP.0066537
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3 Ric Ct
North Branford
CT 06471
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-08-10
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-14

Other licenses

ID Credential Code Credential Type Issue Term Status
1435640 2.011868 Dentist 2017-07-26 2019-08-01 - 2020-07-31 ACTIVE

Office Location

Street Address 3 Ric Ct
City North Branford
State CT
Zip Code 06471

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Competitor

Search similar business entities

City North Branford
Zip Code 06471
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + North Branford

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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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