FREDERIC KALISHMAN
Controlled Substance Registration for Practitioner


Address: 93 Old Highway, Wilton, CT 06897

FREDERIC KALISHMAN (Credential# 144242) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

FREDERIC KALISHMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011439. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 93 Old Highway, Wilton, CT 06897. The current status is inactive.

Basic Information

Licensee Name FREDERIC KALISHMAN
Credential ID 144242
Credential Number CSP.0011439
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 93 Old Highway
Wilton
CT 06897
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2013-01-30

Other licenses

ID Credential Code Credential Type Issue Term Status
544269 1.022756 Physician/Surgeon 1981-04-22 2011-04-01 - 2012-03-31 INACTIVE

Office Location

Street Address 93 OLD HIGHWAY
City WILTON
State CT
Zip Code 06897

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Competitor

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City WILTON
Zip Code 06897
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILTON

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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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