BURTON D MILLER
Controlled Substance Registration for Practitioner


Address: 4 Emerson Lane, P.o. Box 1534, Stockbridge, MA 01262

BURTON D MILLER (Credential# 1074395) 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

BURTON D MILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052495. 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 4 Emerson Lane, P.o. Box 1534, Stockbridge, MA 01262. The current status is inactive.

Basic Information

Licensee Name BURTON D MILLER
Credential ID 1074395
Credential Number CSP.0052495
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4 Emerson Lane, P.o. Box 1534
Stockbridge
MA 01262
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-06-08
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
542783 1.018562 Physician/Surgeon 1977-01-21 2013-05-01 - 2014-04-30 INACTIVE

Office Location

Street Address 4 EMERSON LANE, P.O. BOX 1534
City STOCKBRIDGE
State MA
Zip Code 01262

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Competitor

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City STOCKBRIDGE
Zip Code 01262
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STOCKBRIDGE

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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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