MARIE L MANCAO
Controlled Substance Registration for Practitioner


Address: 6 Washington Street, Matawan, NJ 07747

MARIE L MANCAO (Credential# 172211) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.

Business Overview

MARIE L MANCAO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024343. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is 6 Washington Street, Matawan, NJ 07747. The current status is inactive.

Basic Information

Licensee Name MARIE L MANCAO
Credential ID 172211
Credential Number CSP.0024343
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 6 Washington Street
Matawan
NJ 07747
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1997-03-01
Expiration Date 1998-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
552805 1.035212 Physician/Surgeon 1996-04-26 1996-07-29 - 1997-08-31 INACTIVE

Office Location

Street Address 6 WASHINGTON STREET
City MATAWAN
State NJ
Zip Code 07747

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Competitor

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City MATAWAN
Zip Code 07747
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MATAWAN

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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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