ALEXANDER W CHAN
Controlled Substance Registration for Practitioner


Address: 1085 Hartford Tpke, Vernon Rockville, CT 06066-4406

ALEXANDER W CHAN (Credential# 1080670) 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

ALEXANDER W CHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052849. 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 1085 Hartford Tpke, Vernon Rockville, CT 06066-4406. The current status is inactive.

Basic Information

Licensee Name ALEXANDER W CHAN
Credential ID 1080670
Credential Number CSP.0052849
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1085 Hartford Tpke
Vernon Rockville
CT 06066-4406
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-08-06
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 1085 HARTFORD TPKE
City VERNON ROCKVILLE
State CT
Zip Code 06066-4406

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Competitor

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City VERNON ROCKVILLE
Zip Code 06066
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VERNON ROCKVILLE

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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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