CLEMENS E PROKESCH MD
Controlled Substance Registration for Practitioner


Address: 30 Admiral Dr, New London, CT 06320-4202

CLEMENS E PROKESCH MD (Credential# 147768) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

CLEMENS E PROKESCH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0006810. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 30 Admiral Dr, New London, CT 06320-4202. The current status is inactive.

Basic Information

Licensee Name CLEMENS E PROKESCH MD
Credential ID 147768
Credential Number CSP.0006810
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 30 Admiral Dr
New London
CT 06320-4202
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2008-01-31

Other licenses

ID Credential Code Credential Type Issue Term Status
538870 1.007398 Physician/Surgeon 1953-12-17 2006-09-13 - 2007-11-30 INACTIVE

Office Location

Street Address 30 ADMIRAL DR
City NEW LONDON
State CT
Zip Code 06320-4202

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Paul L Burgess Jr 102 Admiral Dr, New London, CT 06320-4202 Professional Engineer 2020-02-01 ~ 2021-01-31
Jeff Seidel 410 Pequot Avenue, New London, CT 06320-4202 Professional Engineer 2020-02-01 ~ 2021-01-31
Pass Property Partners LLC 46 Admiral Dr, New London, CT 06320-4202 Home Improvement Contractor 2018-04-03 ~ 2018-11-30
Michael E Passero 46 Admiral Dr, New London, CT 06320-4202 Emergency Medical Technician 2015-03-13 ~ 2018-09-30
Thomas C Passero 46 Admiral Dr, New London, CT 06320-4202 Emergency Medical Technician 2011-09-19 ~ 2014-04-01

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Competitor

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City NEW LONDON
Zip Code 06320
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW LONDON

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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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