MARTIN L AUSTIN
Controlled Substance Registration for Practitioner


Address: 35 Lantern Circle, Stamford, CT 06905

MARTIN L AUSTIN (Credential# 159007) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 7, 1993. The license expiration date date is June 1, 1995. The license status is INACTIVE.

Business Overview

MARTIN L AUSTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019114. The credential type is controlled substance registration for practitioner. The effective date is June 7, 1993. The expiration date is June 1, 1995. The business address is 35 Lantern Circle, Stamford, CT 06905. The current status is inactive.

Basic Information

Licensee Name MARTIN L AUSTIN
Credential ID 159007
Credential Number CSP.0019114
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 35 Lantern Circle
Stamford
CT 06905
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1993-06-07
Expiration Date 1995-06-01
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
549254 1.031519 Physician/Surgeon 1991-05-03 1993-01-25 - 1994-02-28 INACTIVE

Office Location

Street Address 35 LANTERN CIRCLE
City STAMFORD
State CT
Zip Code 06905

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Competitor

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City STAMFORD
Zip Code 06905
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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