T MICHELLE MARIANI CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER

Address:
1211 West Main Street, Waterbury, CT 06708

T MICHELLE MARIANI (Credential# 500733) is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER licensed with Connecticut Department of Consumer Protection. The license expiration date is 2019-02-28.

Business Overview

Name T MICHELLE MARIANI
Credential ID 500733
Credential Code CSP.0043395
Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Address 1211 West Main Street
Waterbury
CT 06708
Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2008-06-10
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2017-03-02

Other licenses

ID Credential Code Credential Type Term Status
564147 1.046565 Physician/Surgeon 2017-05-01 - 2018-04-30 ACTIVE

Office Location

Street Address 1211 WEST MAIN STREET
City WATERBURY
State CT
Zip Code 06708

Entities with the same location

Name Office Address Expiration Date
MICHAEL G SERMER MD 1211 West Main Street, Waterbury, CT 06708 2019-02-28
T MICHELLE MARIANI 1211 West Main Street, Waterbury, CT 06708 2018-04-30

Competitor

Search similar business entities

City WATERBURY
Zip Code 06708
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut

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