MARCIE R FALLEK
Controlled Substance Registration for Practitioner


Address: 248 Alden St, Fairfield, CT 06824

MARCIE R FALLEK (Credential# 156902) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 22, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MARCIE R FALLEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016607. The credential type is controlled substance registration for practitioner. The effective date is April 22, 2019. The expiration date is February 28, 2021. The business address is 248 Alden St, Fairfield, CT 06824. The current status is active.

Basic Information

Licensee Name MARCIE R FALLEK
Credential ID 156902
Credential Number CSP.0016607
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 248 Alden St
Fairfield
CT 06824
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-04-22
Expiration Date 2021-02-28
Refresh Date 2019-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
771767 47.002011 Veterinarian 1988-08-19 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 248 ALDEN ST
City FAIRFIELD
State CT
Zip Code 06824

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Mary L O'neil 248 Alden St, Fairfield, CT 06430 Notary Public Appointment 1983-11-14 ~ 1988-03-31

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Competitor

Search similar business entities

City FAIRFIELD
Zip Code 06824
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD

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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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