JOHN A KISELAK MD
Controlled Substance Registration for Practitioner


Address: 30 Laura Dr, Danbury, CT 06811

JOHN A KISELAK MD (Credential# 159406) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 28, 1994. The license expiration date date is December 1, 1995. The license status is INACTIVE.

Business Overview

JOHN A KISELAK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018222. The credential type is controlled substance registration for practitioner. The effective date is April 28, 1994. The expiration date is December 1, 1995. The business address is 30 Laura Dr, Danbury, CT 06811. The current status is inactive.

Basic Information

Licensee Name JOHN A KISELAK MD
Credential ID 159406
Credential Number CSP.0018222
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 30 Laura Dr
Danbury
CT 06811
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-04-28
Expiration Date 1995-12-01
Refresh Date 2009-01-26

Office Location

Street Address 30 LAURA DR
City DANBURY
State CT
Zip Code 06811

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City DANBURY
Zip Code 06811
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DANBURY

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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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