ROULA G RIZK MD
Controlled Substance Registration for Practitioner


Address: 188 Horizon Ln, Glastonbury, CT 06033-2856

ROULA G RIZK MD (Credential# 411134) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

ROULA G RIZK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037828. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 188 Horizon Ln, Glastonbury, CT 06033-2856. The current status is active.

Basic Information

Licensee Name ROULA G RIZK MD
Credential ID 411134
Credential Number CSP.0037828
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 188 Horizon Ln
Glastonbury
CT 06033-2856
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-07-21
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-07

Other licenses

ID Credential Code Credential Type Issue Term Status
561199 1.043617 Physician/Surgeon 2005-07-05 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 188 HORIZON LN
City GLASTONBURY
State CT
Zip Code 06033-2856

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Patrick R Mulready 196 Horizon Ln, Glastonbury, CT 06033-2856 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Newberry Homes Company LLC 106 Horizon Ln, Glastonbury, CT 06033-2856 Home Improvement Contractor 2020-01-14 ~ 2020-11-30
Laura C Bassett 132 Horizon Ln, Glastonbury, CT 06033-2856 Wholesaler Salesman 2008-11-06 ~ 2013-01-31

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Michael D Devanney Pa 28 Evergreen Ln, Glastonbury, CT 06033 Physician Assistant 2020-09-01 ~ 2021-08-31
Sophie C Gomez · Pirog 81 Three Mile Rd, Glastonbury, CT 06033 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City GLASTONBURY
Zip Code 06033
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY

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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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