DANA M. TEODORO PA
Controlled Substance Registration for Practitioner


Address: 36 Millwood Dr, Branford, CT 06405-5920

DANA M. TEODORO PA (Credential# 976036) 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

DANA M. TEODORO PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049392. 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 36 Millwood Dr, Branford, CT 06405-5920. The current status is active.

Basic Information

Licensee Name DANA M. TEODORO PA
Credential ID 976036
Credential Number CSP.0049392
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 36 Millwood Dr
Branford
CT 06405-5920
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2010-11-30
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
968403 23.002516 Physician Assistant 2010-11-03 2019-08-01 - 2020-07-31 ACTIVE

Office Location

Street Address 36 MILLWOOD DR
City BRANFORD
State CT
Zip Code 06405-5920

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Competitor

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City BRANFORD
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD

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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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