MICHAEL J KLUK
Controlled Substance Registration for Practitioner


Address: 72 Whispering Hill Dr, North Branford, CT 06471

MICHAEL J KLUK (Credential# 380848) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 4, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

MICHAEL J KLUK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036181. The credential type is controlled substance registration for practitioner. The effective date is October 4, 2004. The expiration date is February 28, 2005. The business address is 72 Whispering Hill Dr, North Branford, CT 06471. The current status is inactive.

Basic Information

Licensee Name MICHAEL J KLUK
Credential ID 380848
Credential Number CSP.0036181
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 72 Whispering Hill Dr
North Branford
CT 06471
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-10-04
Effective Date 2004-10-04
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
380847 CSP.0036180 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER - INACTIVE

Office Location

Street Address 72 WHISPERING HILL DR
City NORTH BRANFORD
State CT
Zip Code 06471

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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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