MARTIN DUKE MD
Controlled Substance Registration for Practitioner


Address: 186 Jerry Browne Rd Apt 5416, Mystic, CT 06355-4004

MARTIN DUKE MD (Credential# 151249) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

MARTIN DUKE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0003120. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 186 Jerry Browne Rd Apt 5416, Mystic, CT 06355-4004. The current status is inactive.

Basic Information

Licensee Name MARTIN DUKE MD
Credential ID 151249
Credential Number CSP.0003120
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 186 Jerry Browne Rd Apt 5416
Mystic
CT 06355-4004
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
539975 1.011356 Physician/Surgeon 1963-07-15 2009-05-12 - 2010-07-31 INACTIVE

Office Location

Street Address 186 JERRY BROWNE RD APT 5416
City MYSTIC
State CT
Zip Code 06355-4004

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Competitor

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City MYSTIC
Zip Code 06355
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MYSTIC

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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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