Mark C Buchanan Controlled Substance Registration for Practitioner
704 Cherry Brook Road, Canton, CT 06019


Mark C Buchanan is licensed in the eLicensing system of Connecticut. The license credential ID is 205066. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 704 Cherry Brook Road, Canton, CT 06019. The zip code is 06019.


Mark C Buchanan · 704 Cherry Brook Road, Canton, CT 06019

Credential ID 205066
Name MARK C BUCHANAN
Type INDIVIDUAL
Address 704 CHERRY BROOK ROAD
CANTON, CT 06019
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0027725
Credential Type CSP
Credential Number 27725
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 03/01/2005
Effective Date 03/09/2015
Expiration Date 02/28/2017
Record Refresh Date 03/12/201

street_number: 704
route: Cherry Brook Road (Cherry Brook Rd)
neighborhood, political: North Canton
locality, political: Canton
admin_level_2, political: Hartford County
admin_level_1, political: Connecticut (CT)
country, political: United States (US)
postal_code: 06019
postal_code_suffix: 5015
types : street_address
latitude: 41.912147
longitude: -72.903
latlng: (41.912147, -72.903)


MARK C BUCHANAN · Connecticut Business

Mark C Buchanan · Physician/surgeon 704 Cherry Brook Road, Canton, CT 06019

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