PEGGY H FUJIMURA
Controlled Substance Registration for Practitioner


Address: 468 Flanders Rd, Niantic, CT 06357

PEGGY H FUJIMURA (Credential# 1078841) 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

PEGGY H FUJIMURA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052745. 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 468 Flanders Rd, Niantic, CT 06357. The current status is inactive.

Basic Information

Licensee Name PEGGY H FUJIMURA
Credential ID 1078841
Credential Number CSP.0052745
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 468 Flanders Rd
Niantic
CT 06357
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-06-27
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
1058264 1.051044 Physician/Surgeon 2012-06-14 2014-07-01 - 2015-06-30 INACTIVE

Office Location

Street Address 468 Flanders Rd
City Niantic
State CT
Zip Code 06357

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Competitor

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City Niantic
Zip Code 06357
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Niantic

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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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