PAUL M HEERDT
Controlled Substance Registration for Practitioner


Address: 15 Sandy Ln., Greenwich, CT 06831

PAUL M HEERDT (Credential# 1327891) 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

PAUL M HEERDT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061934. 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 15 Sandy Ln., Greenwich, CT 06831. The current status is active.

Basic Information

Licensee Name PAUL M HEERDT
Credential ID 1327891
Credential Number CSP.0061934
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 15 Sandy Ln.
Greenwich
CT 06831
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-01-08
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
1316056 1.054850 Physician/Surgeon 2016-01-04 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address 15 Sandy Ln.
City Greenwich
State CT
Zip Code 06831

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Competitor

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City Greenwich
Zip Code 06831
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Greenwich

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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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