BRIAN D PARK
Controlled Substance Registration for Practitioner


Address: 460 Taylor St Ne Apt 34g, Washington, DC 20017-4336

BRIAN D PARK (Credential# 504612) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

BRIAN D PARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043614. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 460 Taylor St Ne Apt 34g, Washington, DC 20017-4336. The current status is inactive.

Basic Information

Licensee Name BRIAN D PARK
Credential ID 504612
Credential Number CSP.0043614
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 460 Taylor St Ne Apt 34g
Washington
DC 20017-4336
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-06-02
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Office Location

Street Address 460 TAYLOR ST NE APT 34G
City WASHINGTON
State DC
Zip Code 20017-4336

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Competitor

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City WASHINGTON
Zip Code 20017
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WASHINGTON

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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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