MARTHA E HAYKIN
Controlled Substance Registration for Practitioner


Address: 51 Clifford St, Hamden, CT 06517

MARTHA E HAYKIN (Credential# 380399) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

MARTHA E HAYKIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035953. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 51 Clifford St, Hamden, CT 06517. The current status is inactive.

Basic Information

Licensee Name MARTHA E HAYKIN
Credential ID 380399
Credential Number CSP.0035953
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 51 Clifford St
Hamden
CT 06517
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-09-22
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
560355 1.042773 Physician/Surgeon 2004-09-01 2006-01-10 - 2007-01-31 INACTIVE

Office Location

Street Address 51 CLIFFORD ST
City HAMDEN
State CT
Zip Code 06517

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Competitor

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City HAMDEN
Zip Code 06517
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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