PHUONG THANH NGUYEN NHU
Controlled Substance Registration for Practitioner


Address: 290 Brittany Farms Rd Apt H, New Britain, CT 06053-1146

PHUONG THANH NGUYEN NHU (Credential# 1430362) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 14, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

PHUONG THANH NGUYEN NHU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065836. The credential type is controlled substance registration for practitioner. The effective date is June 14, 2017. The expiration date is February 28, 2019. The business address is 290 Brittany Farms Rd Apt H, New Britain, CT 06053-1146. The current status is lapsed.

Basic Information

Licensee Name PHUONG THANH NGUYEN NHU
Credential ID 1430362
Credential Number CSP.0065836
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 290 Brittany Farms Rd Apt H
New Britain
CT 06053-1146
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2017-06-14
Effective Date 2017-06-14
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Office Location

Street Address 290 BRITTANY FARMS RD APT H
City NEW BRITAIN
State CT
Zip Code 06053-1146

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Competitor

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City NEW BRITAIN
Zip Code 06053
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW BRITAIN

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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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