LAURENCE BRACCIA PA
Controlled Substance Registration for Practitioner


Address: 146 High St Unit 101, Milford, CT 06460

LAURENCE BRACCIA PA (Credential# 164070) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 21, 1994. The license expiration date date is July 1, 1996. The license status is INACTIVE.

Business Overview

LAURENCE BRACCIA PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022214. The credential type is controlled substance registration for practitioner. The effective date is June 21, 1994. The expiration date is July 1, 1996. The business address is 146 High St Unit 101, Milford, CT 06460. The current status is inactive.

Basic Information

Licensee Name LAURENCE BRACCIA PA
Credential ID 164070
Credential Number CSP.0022214
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 146 High St Unit 101
Milford
CT 06460
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-06-21
Expiration Date 1996-07-01
Refresh Date 2005-12-15

Office Location

Street Address 146 HIGH ST UNIT 101
City MILFORD
State CT
Zip Code 06460

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Competitor

Search similar business entities

City MILFORD
Zip Code 06460
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MILFORD

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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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