ERNA H MUGNAINI
Controlled Substance Registration for Practitioner


Address: 990 N. Lakeshore Dr, Chicago, IL 60611

ERNA H MUGNAINI (Credential# 148065) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 8, 1993. The license expiration date date is January 1, 1996. The license status is INACTIVE.

Business Overview

ERNA H MUGNAINI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0000767. The credential type is controlled substance registration for practitioner. The effective date is December 8, 1993. The expiration date is January 1, 1996. The business address is 990 N. Lakeshore Dr, Chicago, IL 60611. The current status is inactive.

Basic Information

Licensee Name ERNA H MUGNAINI
Credential ID 148065
Credential Number CSP.0000767
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 990 N. Lakeshore Dr
Chicago
IL 60611
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1993-12-08
Expiration Date 1996-01-01
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
542436 1.017532 Physician/Surgeon 1975-11-03 1994-06-15 - 1995-08-31 INACTIVE

Office Location

Street Address 990 N. LAKESHORE DR
City CHICAGO
State IL
Zip Code 60611

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City CHICAGO
Zip Code 60611
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHICAGO

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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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