DOUGLAS E LATHAM
Controlled Substance Registration for Practitioner


Address: 144 Old Post Rd, Fairfield, CT 06824

DOUGLAS E LATHAM (Credential# 1239637) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

DOUGLAS E LATHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058476. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 144 Old Post Rd, Fairfield, CT 06824. The current status is active.

Basic Information

Licensee Name DOUGLAS E LATHAM
Credential ID 1239637
Credential Number CSP.0058476
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 144 Old Post Rd
Fairfield
CT 06824
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-09-15
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-11

Other licenses

ID Credential Code Credential Type Issue Term Status
1233525 1.053444 Physician/Surgeon 2014-08-11 2019-07-01 - 2020-06-30 ACTIVE

Office Location

Street Address 144 Old Post Rd
City Fairfield
State CT
Zip Code 06824

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Julia C Latham 144 Old Post Rd, Fairfield, CT 06824-6206 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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Competitor

Search similar business entities

City Fairfield
Zip Code 06824
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Fairfield

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Julia C Latham 144 Old Post Rd, Fairfield, CT 06824-6206 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Matthew Latham Macer 20 York St Tmp 209, New Haven, CT 06510-3220 Controlled Substance Registration for Practitioner 2015-03-16 ~ 2017-02-28
Kyle Douglas 42 Ellington St, Longmeadow, MA 01106-1430 Controlled Substance Registration for Practitioner 2019-05-21 ~ 2021-02-28
Douglas Smith Md 407 Woodbridge St, Manchester, CT 06042 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Douglas Astion Do Po Box 1707, Stockbridge, MA 01262 Controlled Substance Registration for Practitioner 2001-03-01 ~ 2002-02-28
Douglas Olson 374 Grand Ave, New Haven, CT 06513-3733 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Douglas Trepp 500 W Putnam Ave, Greenwich, CT 06830 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Douglas W Greenlaw Dmd 45 Cobblestone Rd, Glastonbury, CT 06033 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
Kareem Douglas 740 East St Fl 2, New Britain, CT 06051-2151 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Gweneth M Douglas 65 Adams Rd, Bloomfield, CT 06002 Controlled Substance Registration for Practitioner 2019-01-25 ~ 2021-02-28

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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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