FREDERICK PROSE JR
Controlled Substance Registration for Practitioner


Address: 281 Hartford Tpke, Vernon, CT 06066

FREDERICK PROSE JR (Credential# 147771) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 23, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

FREDERICK PROSE JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0007478. The credential type is controlled substance registration for practitioner. The effective date is January 23, 1996. The expiration date is February 28, 1997. The business address is 281 Hartford Tpke, Vernon, CT 06066. The current status is inactive.

Basic Information

Licensee Name FREDERICK PROSE JR
Credential ID 147771
Credential Number CSP.0007478
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 281 Hartford Tpke
Vernon
CT 06066
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1996-01-23
Expiration Date 1997-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
699682 2.003108 Dentist 1956-08-01 1996-01-18 - 1997-01-31 INACTIVE

Office Location

Street Address 281 HARTFORD TPKE
City VERNON
State CT
Zip Code 06066

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Competitor

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City VERNON
Zip Code 06066
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VERNON

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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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