KRISTYN MARIE MOWRY
Controlled Substance Registration for Practitioner


Address: 265 Montauk Ave, New London, CT 06320-4711

KRISTYN MARIE MOWRY (Credential# 1654109) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 6, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

KRISTYN MARIE MOWRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070754. The credential type is controlled substance registration for practitioner. The effective date is May 6, 2019. The expiration date is February 28, 2021. The business address is 265 Montauk Ave, New London, CT 06320-4711. The current status is active.

Basic Information

Licensee Name KRISTYN MARIE MOWRY
Credential ID 1654109
Credential Number CSP.0070754
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 265 Montauk Ave
New London
CT 06320-4711
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-05-06
Effective Date 2019-05-06
Expiration Date 2021-02-28
Refresh Date 2019-05-07

Other licenses

ID Credential Code Credential Type Issue Term Status
1632732 23.004430 Physician Assistant 2019-04-24 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 265 MONTAUK AVE
City NEW LONDON
State CT
Zip Code 06320-4711

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Competitor

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City NEW LONDON
Zip Code 06320
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW LONDON

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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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