ANNA C MAI OD
Controlled Substance Registration for Practitioner


Address: 50 Holy Family Rd Apt 317, Holyoke, MA 01040-2782

ANNA C MAI OD (Credential# 944435) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 4, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

ANNA C MAI OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048115. The credential type is controlled substance registration for practitioner. The effective date is May 4, 2011. The expiration date is February 28, 2013. The business address is 50 Holy Family Rd Apt 317, Holyoke, MA 01040-2782. The current status is inactive.

Basic Information

Licensee Name ANNA C MAI OD
Credential ID 944435
Credential Number CSP.0048115
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 50 Holy Family Rd Apt 317
Holyoke
MA 01040-2782
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-07-27
Effective Date 2011-05-04
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
932305 3.002808 Optometrist 2010-07-08 2011-06-01 - 2012-05-31 INACTIVE

Office Location

Street Address 50 HOLY FAMILY RD APT 317
City HOLYOKE
State MA
Zip Code 01040-2782

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Competitor

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City HOLYOKE
Zip Code 01040
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HOLYOKE

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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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