MARK S MORGINSTIN MD
Controlled Substance Registration for Practitioner


Address: 33 Randall Ave, West Hartford, CT 06110

MARK S MORGINSTIN MD (Credential# 404508) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

MARK S MORGINSTIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037449. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 33 Randall Ave, West Hartford, CT 06110. The current status is inactive.

Basic Information

Licensee Name MARK S MORGINSTIN MD
Credential ID 404508
Credential Number CSP.0037449
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 33 Randall Ave
West Hartford
CT 06110
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-05-09
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
560400 1.042818-DO Physician/Surgeon 2004-09-21 2006-12-26 - 2007-12-31 INACTIVE

Office Location

Street Address 33 RANDALL AVE
City WEST HARTFORD
State CT
Zip Code 06110

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Competitor

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City WEST HARTFORD
Zip Code 06110
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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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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