BHAVNA A MATTA
Controlled Substance Registration for Practitioner


Address: 99 Osborne St Apt 1, Danbury, CT 06810

BHAVNA A MATTA (Credential# 1619775) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 30, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

BHAVNA A MATTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069983. The credential type is controlled substance registration for practitioner. The effective date is September 30, 2019. The expiration date is February 28, 2021. The business address is 99 Osborne St Apt 1, Danbury, CT 06810. The current status is active.

Basic Information

Licensee Name BHAVNA A MATTA
Credential ID 1619775
Credential Number CSP.0069983
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 99 Osborne St Apt 1
Danbury
CT 06810
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-12-18
Effective Date 2019-09-30
Expiration Date 2021-02-28
Refresh Date 2019-10-03

Office Location

Street Address 99 OSBORNE ST APT 1
City DANBURY
State CT
Zip Code 06810

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Competitor

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City DANBURY
Zip Code 06810
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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