JERRY C LEE MD
Controlled Substance Registration for Practitioner


Address: 5 Mercy Street, Danbury, CT 06810

JERRY C LEE MD (Credential# 1000659) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

JERRY C LEE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050261. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 5 Mercy Street, Danbury, CT 06810. The current status is inactive.

Basic Information

Licensee Name JERRY C LEE MD
Credential ID 1000659
Credential Number CSP.0050261
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5 Mercy Street
Danbury
CT 06810
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-06-07
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
991246 1.049888 Physician/Surgeon 2011-05-24 2013-04-01 - 2014-03-31 INACTIVE

Office Location

Street Address 5 Mercy Street
City Danbury
State CT
Zip Code 06810

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Competitor

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City Danbury
Zip Code 06810
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Danbury

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

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

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