MARVIN L COUSINS MD
Controlled Substance Registration for Practitioner


Address: 16 Bianca Dr, Milford, CT 06460

MARVIN L COUSINS MD (Credential# 148349) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.

Business Overview

MARVIN L COUSINS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0004425. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1999. The expiration date is February 28, 2000. The business address is 16 Bianca Dr, Milford, CT 06460. The current status is inactive.

Basic Information

Licensee Name MARVIN L COUSINS MD
Credential ID 148349
Credential Number CSP.0004425
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 16 Bianca Dr
Milford
CT 06460
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1999-03-01
Expiration Date 2000-02-28
Refresh Date 2009-01-26

Office Location

Street Address 16 BIANCA DR
City MILFORD
State CT
Zip Code 06460

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Competitor

Search similar business entities

City MILFORD
Zip Code 06460
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MILFORD

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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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