DAVID BASS
Controlled Substance Registration for Practitioner


Address: 50 Saw Mill Road Apt 15436, Danbury, CT 06810

DAVID BASS (Credential# 1224697) 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

DAVID BASS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057225. 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 50 Saw Mill Road Apt 15436, Danbury, CT 06810. The current status is inactive.

Basic Information

Licensee Name DAVID BASS
Credential ID 1224697
Credential Number CSP.0057225
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 50 Saw Mill Road Apt 15436
Danbury
CT 06810
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2014-06-09
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
1215473 1.052970-DO Physician/Surgeon 2014-04-30 2015-01-01 - 2015-12-31 INACTIVE

Office Location

Street Address 50 saw mill road apt 15436
City Danbury
State CT
Zip Code 06810

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Competitor

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City Danbury
Zip Code 06810
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Danbury

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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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