ALENA V KREYCHMAN
Controlled Substance Registration for Practitioner


Address: 37 Windbrook Dr, Suffield, CT 06078-1249

ALENA V KREYCHMAN (Credential# 992919) 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

ALENA V KREYCHMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049960. 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 37 Windbrook Dr, Suffield, CT 06078-1249. The current status is active.

Basic Information

Licensee Name ALENA V KREYCHMAN
Credential ID 992919
Credential Number CSP.0049960
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 37 Windbrook Dr
Suffield
CT 06078-1249
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-04-14
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
564370 1.046788 Physician/Surgeon 2008-07-16 2020-02-01 - 2021-01-31 ACTIVE
446872 CSP.0040225 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-08-24 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address 37 WINDBROOK DR
City SUFFIELD
State CT
Zip Code 06078-1249

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Competitor

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City SUFFIELD
Zip Code 06078
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SUFFIELD

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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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