LEE D BAYLIS
Controlled Substance Registration for Practitioner


Address: 38 Alpine Cir, Newtown, CT 06842

LEE D BAYLIS (Credential# 1194559) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 20, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

LEE D BAYLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056409. The credential type is controlled substance registration for practitioner. The effective date is November 20, 2013. The expiration date is February 28, 2015. The business address is 38 Alpine Cir, Newtown, CT 06842. The current status is inactive.

Basic Information

Licensee Name LEE D BAYLIS
Credential ID 1194559
Credential Number CSP.0056409
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 38 Alpine Cir
Newtown
CT 06842
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-11-20
Effective Date 2013-11-20
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1180609 1.052509 Physician/Surgeon 2013-10-08 2013-10-08 - 2014-08-31 INACTIVE

Office Location

Street Address 38 ALPINE CIR
City NEWTOWN
State CT
Zip Code 06842

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Competitor

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City NEWTOWN
Zip Code 06842
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWTOWN

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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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