MARC B LANDAU PA
Controlled Substance Registration for Practitioner


Address: 24 Meadow Rd, North Branford, CT 06471-1266

MARC B LANDAU PA (Credential# 356076) 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

MARC B LANDAU PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034399. 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 24 Meadow Rd, North Branford, CT 06471-1266. The current status is active.

Basic Information

Licensee Name MARC B LANDAU PA
Credential ID 356076
Credential Number CSP.0034399
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 24 Meadow Rd
North Branford
CT 06471-1266
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2003-12-17
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-25

Other licenses

ID Credential Code Credential Type Issue Term Status
743152 23.001403 Physician Assistant 2003-10-14 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 24 MEADOW RD
City NORTH BRANFORD
State CT
Zip Code 06471-1266

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Ruth A Kramer 20 Meadow Rd, North Branford, CT 06471-1266 Emergency Medical Responder 2010-10-22 ~ 2013-07-01

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Sandra L Cappello 33 Edgewood Dr, North Branford, CT 06471 Registered Nurse 2020-08-01 ~ 2021-07-31
Melissa T Anderson 14 Pine Hollow Rd, North Branford, CT 06471 Registered Nurse 2020-08-01 ~ 2021-07-31
A Best Buy Premium Fuel & Trucking LLC 196 West Pond Ext, North Branford, CT 06471 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
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Competitor

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City NORTH BRANFORD
Zip Code 06471
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH BRANFORD

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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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