W ALEXANDER HERBORDT MD
Controlled Substance Registration for Practitioner


Address: 30 Orchard Rd, Woodbridge, CT 06525

W ALEXANDER HERBORDT MD (Credential# 144854) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 22, 1993. The license expiration date date is October 1, 1995. The license status is INACTIVE.

Business Overview

W ALEXANDER HERBORDT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0007261. The credential type is controlled substance registration for practitioner. The effective date is September 22, 1993. The expiration date is October 1, 1995. The business address is 30 Orchard Rd, Woodbridge, CT 06525. The current status is inactive.

Basic Information

Licensee Name W ALEXANDER HERBORDT MD
Credential ID 144854
Credential Number CSP.0007261
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 30 Orchard Rd
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1993-09-22
Expiration Date 1995-10-01
Refresh Date 2004-04-23

Office Location

Street Address 30 ORCHARD RD
City WOODBRIDGE
State CT
Zip Code 06525

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Phyllis J Tatro 30 Orchard Rd, Woodbridge, CT 06525 Registered Nurse 2020-05-01 ~ 2021-04-30
W A Herbordt 30 Orchard Rd, Woodbridge, CT 06525 Physician/surgeon 1993-02-25 ~ 1994-03-31

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Competitor

Search similar business entities

City WOODBRIDGE
Zip Code 06525
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBRIDGE

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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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