DANIEL CARLYLE
Controlled Substance Registration for Practitioner


Address: 73 Florence Rd 1a, Branford, CT 06405

DANIEL CARLYLE (Credential# 1357023) 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

DANIEL CARLYLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062874. 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 73 Florence Rd 1a, Branford, CT 06405. The current status is active.

Basic Information

Licensee Name DANIEL CARLYLE
Credential ID 1357023
Credential Number CSP.0062874
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 73 Florence Rd 1a
Branford
CT 06405
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-06-17
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-15

Other licenses

ID Credential Code Credential Type Issue Term Status
1491566 1.059301-RES Resident Physician 2017-07-01 2019-07-01 - 2020-06-30 ACTIVE

Office Location

Street Address 73 Florence Rd 1A
City Branford
State CT
Zip Code 06405

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Competitor

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City Branford
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Branford

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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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