ROBERTO A MIKI
Controlled Substance Registration for Practitioner


Address: 140 Captain Thomas Blvd 401, West Haven, CT 06516

ROBERTO A MIKI (Credential# 380563) 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

ROBERTO A MIKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036020. 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 140 Captain Thomas Blvd 401, West Haven, CT 06516. The current status is inactive.

Basic Information

Licensee Name ROBERTO A MIKI
Credential ID 380563
Credential Number CSP.0036020
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 140 Captain Thomas Blvd 401
West Haven
CT 06516
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-10-12
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Office Location

Street Address 140 CAPTAIN THOMAS BLVD 401
City WEST HAVEN
State CT
Zip Code 06516

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Competitor

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City WEST HAVEN
Zip Code 06516
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN

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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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