PAUL W HENDRIX
Controlled Substance Registration for Practitioner


Address: 155 Knoll Rd, Hamden, CT 06518-1308

PAUL W HENDRIX (Credential# 1147401) 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

PAUL W HENDRIX is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054159. 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 155 Knoll Rd, Hamden, CT 06518-1308. The current status is inactive.

Basic Information

Licensee Name PAUL W HENDRIX
Credential ID 1147401
Credential Number CSP.0054159
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 155 Knoll Rd
Hamden
CT 06518-1308
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-01-31
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
1135140 1.051585-DO Physician/Surgeon 2013-01-15 2015-07-01 - 2016-06-30 INACTIVE
445690 CSP.0039636 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-08-04 2009-03-24 - 2011-02-28 INACTIVE

Office Location

Street Address 155 KNOLL RD
City HAMDEN
State CT
Zip Code 06518-1308

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Competitor

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City HAMDEN
Zip Code 06518
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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