ELIZA M MARTEL
Controlled Substance Registration for Practitioner


Address: 6 Laurel Ridge Rd, Southwick, MA 01077-9225

ELIZA M MARTEL (Credential# 507701) 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

ELIZA M MARTEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043760. 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 6 Laurel Ridge Rd, Southwick, MA 01077-9225. The current status is active.

Basic Information

Licensee Name ELIZA M MARTEL
Credential ID 507701
Credential Number CSP.0043760
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 6 Laurel Ridge Rd
Southwick
MA 01077-9225
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2008-07-08
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-11

Other licenses

ID Credential Code Credential Type Issue Term Status
743855 23.002106 Physician Assistant 2008-06-18 2019-06-01 - 2020-05-31 ACTIVE

Office Location

Street Address 6 LAUREL RIDGE RD
City SOUTHWICK
State MA
Zip Code 01077-9225

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Competitor

Search similar business entities

City SOUTHWICK
Zip Code 01077
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHWICK

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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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