INGRID MODY
Controlled Substance Registration for Practitioner


Address: 72 Godfrey Rd W, Weston, CT 06883-1300

INGRID MODY (Credential# 339098) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

INGRID MODY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033527. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 72 Godfrey Rd W, Weston, CT 06883-1300. The current status is inactive.

Basic Information

Licensee Name INGRID MODY
Credential ID 339098
Credential Number CSP.0033527
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 72 Godfrey Rd W
Weston
CT 06883-1300
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-05-18
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
742722 23.000973 Physician Assistant 2000-07-13 2013-12-01 - 2014-11-30 INACTIVE
865897 70.940116 Emergency Medical Technician 1993-12-01 - 1996-01-01 INACTIVE

Office Location

Street Address 72 GODFREY RD W
City WESTON
State CT
Zip Code 06883-1300

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Anika Mody 72 Godfrey Rd W, Weston, CT 06883-1300 Emergency Medical Technician ~

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Competitor

Search similar business entities

City WESTON
Zip Code 06883
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTON

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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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