Nicole A Marquis Dmd Controlled Substance Registration for Practitioner
51 Boston Post Rd Suite 10, Madison, CT 06443


Nicole A Marquis Dmd is licensed in the eLicensing system of Connecticut. The license credential ID is 213470. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 51 Boston Post Rd Suite 10, Madison, CT 06443. The zip code is 06443.


Nicole A Marquis Dmd · 51 Boston Post Rd Suite 10, Madison, CT 06443

Credential ID 213470
Name NICOLE A MARQUIS DMD
Type INDIVIDUAL
Address 51 BOSTON POST RD SUITE 10
MADISON, CT 06443
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0028325
Credential Type CSP
Credential Number 28325
Status ACTIVE
Status Reason CURRENT
Active 1
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 01/26/201

NICOLE A MARQUIS DMD · Connecticut Business

Nicole A Marquis Dmd · Dentist 51 Boston Post Rd Suite 10, Madison, CT 06443

Zip 06443 · Controlled Substance Registration for Practitioner · Connecticut Business

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