MARTHA SPIEKER
Controlled Substance Registration for Practitioner


Address: 92 Beckett Ave, Branford, CT 06405

MARTHA SPIEKER (Credential# 163537) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 23, 1993. The license expiration date date is February 1, 1995. The license status is INACTIVE.

Business Overview

MARTHA SPIEKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021188. The credential type is controlled substance registration for practitioner. The effective date is July 23, 1993. The expiration date is February 1, 1995. The business address is 92 Beckett Ave, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name MARTHA SPIEKER
Credential ID 163537
Credential Number CSP.0021188
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 92 Beckett Ave
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1993-07-23
Expiration Date 1995-02-01
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
550701 1.033102 Physician/Surgeon 1993-07-01 1981-01-01 - 1994-06-30 INACTIVE

Office Location

Street Address 92 BECKETT AVE
City BRANFORD
State CT
Zip Code 06405

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Scott T Shih 92 Beckett Ave, Branford, CT 06405 Controlled Substance Registration for Practitioner 1994-01-12 ~ 1996-02-01
Joel Emanuel Gallant 92 Beckett Ave, Branford, CT 06405-4840 Physician/surgeon ~ 1990-01-31

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Competitor

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City BRANFORD
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD

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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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