T Michelle Mariani Controlled Substance Registration for Practitioner
1211 West Main Street, Waterbury, CT 06708


T Michelle Mariani is licensed in the eLicensing system of Connecticut. The license credential ID is 500733. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 1211 West Main Street, Waterbury, CT 06708. The zip code is 06708.


T Michelle Mariani · 1211 West Main Street, Waterbury, CT 06708

Credential ID 500733
Name T MICHELLE MARIANI
Type INDIVIDUAL
Address 1211 WEST MAIN STREET
WATERBURY, CT 06708
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0043395
Credential Type CSP
Credential Number 43395
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 06/10/2008
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 02/23/2015

T MICHELLE MARIANI · Connecticut Business

T Michelle Mariani · Physician/surgeon 1211 West Main Street, Waterbury, CT 06708

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