KIRA A WENDORF
Controlled Substance Registration for Practitioner


Address: 275 Third Ave, West Haven, CT 06516

KIRA A WENDORF (Credential# 385400) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 31, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

KIRA A WENDORF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036549. The credential type is controlled substance registration for practitioner. The effective date is May 31, 2006. The expiration date is February 28, 2007. The business address is 275 Third Ave, West Haven, CT 06516. The current status is inactive.

Basic Information

Licensee Name KIRA A WENDORF
Credential ID 385400
Credential Number CSP.0036549
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 275 Third Ave
West Haven
CT 06516
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-10-25
Effective Date 2006-05-31
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Office Location

Street Address 275 THIRD AVE
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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