MYUNG HYUN BAE
Controlled Substance Registration for Practitioner


Address: 409 Lenox Road, Fairfield, CT 06825

MYUNG HYUN BAE (Credential# 1354245) 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

MYUNG HYUN BAE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062785. 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 409 Lenox Road, Fairfield, CT 06825. The current status is active.

Basic Information

Licensee Name MYUNG HYUN BAE
Credential ID 1354245
Credential Number CSP.0062785
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 409 Lenox Road
Fairfield
CT 06825
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-05-18
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-28

Other licenses

ID Credential Code Credential Type Issue Term Status
1337692 2.011565 Dentist 2016-03-16 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 409 Lenox road
City Fairfield
State CT
Zip Code 06825

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Competitor

Search similar business entities

City Fairfield
Zip Code 06825
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Fairfield

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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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