ANDREA ROSE MINKEN
Controlled Substance Registration for Practitioner


Address: 158 Winslow Drive, West Haven, CT 06516

ANDREA ROSE MINKEN (Credential# 1458672) 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

ANDREA ROSE MINKEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067032. 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 158 Winslow Drive, West Haven, CT 06516. The current status is active.

Basic Information

Licensee Name ANDREA ROSE MINKEN
Credential ID 1458672
Credential Number CSP.0067032
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 158 Winslow Drive
West Haven
CT 06516
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-10-31
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1455749 23.003991 Physician Assistant 2017-10-17 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 158 Winslow Drive
City West Haven
State CT
Zip Code 06516

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Dyaija Soriano 29 Ridge Court East, West Haven, CT 06516 Esthetician 2020-06-26 ~ 2022-05-31
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Competitor

Search similar business entities

City West Haven
Zip Code 06516
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + West Haven

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Andrea Radebold 960 Main St, Branford, CT 06405-3730 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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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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