BRIAN M PELLINI MD
Controlled Substance Registration for Practitioner


Address: 875 New Britain Ave, Farmington, CT 06032-2148

BRIAN M PELLINI MD (Credential# 987439) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 6, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

BRIAN M PELLINI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049755. The credential type is controlled substance registration for practitioner. The effective date is June 6, 2011. The expiration date is February 28, 2013. The business address is 875 New Britain Ave, Farmington, CT 06032-2148. The current status is inactive.

Basic Information

Licensee Name BRIAN M PELLINI MD
Credential ID 987439
Credential Number CSP.0049755
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 875 New Britain Ave
Farmington
CT 06032-2148
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-06-06
Effective Date 2011-06-06
Expiration Date 2013-02-28
Refresh Date 2014-07-24

Other licenses

ID Credential Code Credential Type Issue Term Status
984732 1.049884 Physician/Surgeon 2011-05-24 2011-09-01 - 2012-08-31 INACTIVE

Office Location

Street Address 875 NEW BRITAIN AVE
City FARMINGTON
State CT
Zip Code 06032-2148

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Competitor

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City FARMINGTON
Zip Code 06032
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

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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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