Connecticut License

Jurisdiction: Connecticut
Source: Connecticut Department of Consumer Protection

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER · PORT JEFFERSON STATION · Search Result

Licensee Name	Office Address	Credential	Effective / Expiration
Yelena Pristyazhnyuk	460 Old Town Rd Apt 19g, Port Jefferson Station, NY 11776-2248	Controlled Substance Registration for Practitioner	2020-04-13 ~ 2021-02-28
Mona G Khattab Md	61 Piedmont Dr Apt 211a, Port Jefferson Station, NY 11776-1127	Controlled Substance Registration for Practitioner	~