THEODORE LIDZ MD
Controlled Substance Registration for Practitioner


Address: Apartment 522, Hamden, CT 06517-2723

THEODORE LIDZ MD (Credential# 148176) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

THEODORE LIDZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0001703. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1996. The expiration date is February 28, 1997. The business address is Apartment 522, Hamden, CT 06517-2723. The current status is inactive.

Basic Information

Licensee Name THEODORE LIDZ MD
Credential ID 148176
Credential Number CSP.0001703
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Apartment 522
Hamden
CT 06517-2723
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1996-03-01
Expiration Date 1997-02-28
Refresh Date 2009-01-26

Office Location

Street Address APARTMENT 522
City HAMDEN
State CT
Zip Code 06517-2723

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Competitor

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City HAMDEN
Zip Code 06517
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Theodore Lidz 60 Orchard Rd, Woodbridge, CT 06525 Physician/surgeon 1995-02-07 ~ 1996-04-30
Theodore H Mueller 172 Fountain St #2-l, New Haven, CT 06515 Controlled Substance Registration for Practitioner 2005-03-01 ~ 2006-02-28
Kim Kit Yeng Wong 110 Theodore Fremd Ave Apt B8, Rye, NY 10580-2874 Controlled Substance Registration for Practitioner 2019-10-16 ~ 2021-02-28
Theodore F. Marolda 16 Hinsdale Ave, Winsted, CT 06098 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Lalit Kapoor Dds 68 Theodore Fremd Ave, Rye, NY 10580-2909 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Theodore K Chang 88 Brownstone Way Apt 104, Englewood, NJ 07631-1202 Controlled Substance Registration for Practitioner 2017-03-02 ~ 2019-02-28
Theodore P Gluckman Dds 251 Main St, Westport, CT 06880 Controlled Substance Registration for Practitioner 1996-09-01 ~ 1998-02-28
Theodore N. Tsangaris 20 York St, New Haven, CT 06510-3220 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Theodore Frank Md 11 Fairlawn Ave, Branford, CT 06405 Controlled Substance Registration for Practitioner 1996-09-01 ~ 1998-02-28
Theodore J Blum Md 5 School St, Bethel, CT 06801 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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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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