ARCHER K MARTIN
Controlled Substance Registration for Practitioner


Address: 7651 Gate Parkway, Jacksonville, FL 32256

ARCHER K MARTIN (Credential# 511325) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 29, 2013. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

ARCHER K MARTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044287. The credential type is controlled substance registration for practitioner. The effective date is January 29, 2013. The expiration date is February 28, 2013. The business address is 7651 Gate Parkway, Jacksonville, FL 32256. The current status is inactive.

Basic Information

Licensee Name ARCHER K MARTIN
Credential ID 511325
Credential Number CSP.0044287
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 7651 Gate Parkway
Jacksonville
FL 32256
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-09-12
Effective Date 2013-01-29
Expiration Date 2013-02-28
Refresh Date 2014-07-24

Office Location

Street Address 7651 Gate Parkway
City Jacksonville
State FL
Zip Code 32256

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Competitor

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City Jacksonville
Zip Code 32256
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Jacksonville

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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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