SPEPHANIE H MULLANY MD
Controlled Substance Registration for Practitioner


Address: Hathaway Road, East Lyme, CT 06333

SPEPHANIE H MULLANY MD (Credential# 148075) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.

Business Overview

SPEPHANIE H MULLANY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0004465. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is Hathaway Road, East Lyme, CT 06333. The current status is inactive.

Basic Information

Licensee Name SPEPHANIE H MULLANY MD
Credential ID 148075
Credential Number CSP.0004465
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Hathaway Road
East Lyme
CT 06333
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1997-03-01
Expiration Date 1998-02-28
Refresh Date 2004-04-23

Office Location

Street Address HATHAWAY ROAD
City EAST LYME
State CT
Zip Code 06333

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Competitor

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City EAST LYME
Zip Code 06333
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST LYME

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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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