MARK W GREVE
Controlled Substance Registration for Practitioner


Address: 61 Three Corners Rd, Guilford, CT 06437

MARK W GREVE (Credential# 381038) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 18, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.

Business Overview

MARK W GREVE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036288. The credential type is controlled substance registration for practitioner. The effective date is April 18, 2005. The expiration date is February 28, 2006. The business address is 61 Three Corners Rd, Guilford, CT 06437. The current status is inactive.

Basic Information

Licensee Name MARK W GREVE
Credential ID 381038
Credential Number CSP.0036288
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 61 Three Corners Rd
Guilford
CT 06437
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-10-05
Effective Date 2005-04-18
Expiration Date 2006-02-28
Refresh Date 2009-01-26

Office Location

Street Address 61 THREE CORNERS RD
City GUILFORD
State CT
Zip Code 06437

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Competitor

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City GUILFORD
Zip Code 06437
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GUILFORD

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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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