SUNG J LIAO MD
Controlled Substance Registration for Practitioner


Address: 10 Longwood Dr Apt 552, Westwood, MA 02090-1148

SUNG J LIAO MD (Credential# 148166) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.

Business Overview

SUNG J LIAO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0002704. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2002. The expiration date is February 28, 2003. The business address is 10 Longwood Dr Apt 552, Westwood, MA 02090-1148. The current status is inactive.

Basic Information

Licensee Name SUNG J LIAO MD
Credential ID 148166
Credential Number CSP.0002704
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 10 Longwood Dr Apt 552
Westwood
MA 02090-1148
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2002-03-01
Expiration Date 2003-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
538930 1.007592 Physician/Surgeon 1954-08-05 2001-09-24 - 2002-11-30 INACTIVE

Office Location

Street Address 10 LONGWOOD DR APT 552
City WESTWOOD
State MA
Zip Code 02090-1148

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Competitor

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City WESTWOOD
Zip Code 02090
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTWOOD

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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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