KRISTA MATSEN MD
Controlled Substance Registration for Practitioner


Address: 1086 Rt 197, Woodstock, CT 06821

KRISTA MATSEN MD (Credential# 344919) 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

KRISTA MATSEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033759. 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 1086 Rt 197, Woodstock, CT 06821. The current status is active.

Basic Information

Licensee Name KRISTA MATSEN MD
Credential ID 344919
Credential Number CSP.0033759
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1086 Rt 197
Woodstock
CT 06821
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2003-07-02
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
558522 1.040939 Physician/Surgeon 2002-11-05 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 1086 rt 197
City Woodstock
State CT
Zip Code 06821

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Rikard De Jounge · Rock Farm Po Box 5091, Westport, CT 06821 Home Improvement Contractor 2003-06-24 ~ 2003-11-30
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Sigma Sigma Sigma Foundation 225 N Muhlenberg St, Woodstock, VA 22664-1424 Public Charity 2019-06-01 ~ 2020-05-31
Dylan M Hamill 9 Ridgewood Dr, Woodstock, CT 06281-1720 Emergency Medical Responder 2017-04-19 ~ 2020-06-30
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Annie B Barlow 40 W Quasset Road, Woodstock, CT 06281 Real Estate Salesperson 2020-06-18 ~ 2021-05-31
Samuel Lambert 55 Loyola Rd, Woodstock, CT 06281-3208 Veterinarian 2020-06-24 ~ 2020-09-30
Woodstock Orchards 494 Route 169, Woodstock, CT 06281113 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Jonathan Allen Hall 737 Route 169, Woodstock, CT 06281-2220 Registered Nurse ~
Susan C Eddy 377 Senexet Rd, Woodstock, CT 06281-2331 Physical Therapist 2020-09-01 ~ 2021-08-31
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Competitor

Search similar business entities

City Woodstock
Zip Code 06821
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Woodstock

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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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