COLLEEN LAM
Controlled Substance Registration for Practitioner


Address: 369 Main Street, West Haven, CT 06516

COLLEEN LAM (Credential# 1004770) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

COLLEEN LAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050596. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 369 Main Street, West Haven, CT 06516. The current status is inactive.

Basic Information

Licensee Name COLLEEN LAM
Credential ID 1004770
Credential Number CSP.0050596
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 369 Main Street
West Haven
CT 06516
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-07-20
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1082716 2.010833 Dentist 2012-08-06 2014-12-01 - 2015-11-30 INACTIVE

Office Location

Street Address 369 MAIN STREET
City WEST HAVEN
State CT
Zip Code 06516

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Competitor

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City WEST HAVEN
Zip Code 06516
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN

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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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