MARIA A HENRY
Controlled Substance Registration for Practitioner


Address: 12 Mountaincrest Dr, Cheshire, CT 06410-3553

MARIA A HENRY (Credential# 180141) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MARIA A HENRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025536. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 12 Mountaincrest Dr, Cheshire, CT 06410-3553. The current status is active.

Basic Information

Licensee Name MARIA A HENRY
Credential ID 180141
Credential Number CSP.0025536
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 12 Mountaincrest Dr
Cheshire
CT 06410-3553
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
553265 1.035672 Physician/Surgeon 1996-11-01 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 12 MOUNTAINCREST DR
City CHESHIRE
State CT
Zip Code 06410-3553

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Donna R Myjak 2f Mountaincrest Dr, Cheshire, CT 06410-3553 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Alex D Myjak 2 Mountaincrest Dr # F, Cheshire, CT 06410-3553 Real Estate Salesperson ~

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Competitor

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City CHESHIRE
Zip Code 06410
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESHIRE

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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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