RYAN W MCKENZIE DVM
Controlled Substance Registration for Practitioner


Address: 366 Fairview Ave, Bridgeport, CT 06606

RYAN W MCKENZIE DVM (Credential# 476881) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

RYAN W MCKENZIE DVM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041902. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 366 Fairview Ave, Bridgeport, CT 06606. The current status is inactive.

Basic Information

Licensee Name RYAN W MCKENZIE DVM
Credential ID 476881
Credential Number CSP.0041902
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 366 Fairview Ave
Bridgeport
CT 06606
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-07-18
Effective Date 2008-03-01
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
772922 47.003248 Veterinarian 2007-04-30 2007-07-18 - 2008-07-31 INACTIVE

Office Location

Street Address 366 FAIRVIEW AVE
City BRIDGEPORT
State CT
Zip Code 06606

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Competitor

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City BRIDGEPORT
Zip Code 06606
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT

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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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