IRA L CANTNER II
Controlled Substance Registration for Practitioner


Address: 97 Elm St, Old Saybrook, CT 06475

IRA L CANTNER II (Credential# 146714) 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

IRA L CANTNER II is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0004151. 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 97 Elm St, Old Saybrook, CT 06475. The current status is active.

Basic Information

Licensee Name IRA L CANTNER II
Credential ID 146714
Credential Number CSP.0004151
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 97 Elm St
Old Saybrook
CT 06475
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
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
700950 2.005330 Dentist 1978-04-03 2019-12-01 - 2020-11-30 ACTIVE
467278 CSP.0041319 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-04-09 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 97 ELM ST
City OLD SAYBROOK
State CT
Zip Code 06475

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Peng Jiang 137 Mian St, Old Saybrook, CT 06475 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Camille A Brodeur 90 North Cove Rd, Old Saybrook, CT 06475 Registered Nurse 2020-08-01 ~ 2021-07-31
Emily Marie Peluso 27 Briarwood Drive, Old Saybrook, CT 06475 Advanced Practice Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City OLD SAYBROOK
Zip Code 06475
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OLD SAYBROOK

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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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