LOUIS A COULSON MD
Controlled Substance Registration for Practitioner


Address: 58 Ridgewood Ave, Waterford, CT 06385

LOUIS A COULSON MD (Credential# 148348) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

LOUIS A COULSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0004335. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 58 Ridgewood Ave, Waterford, CT 06385. The current status is inactive.

Basic Information

Licensee Name LOUIS A COULSON MD
Credential ID 148348
Credential Number CSP.0004335
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 58 Ridgewood Ave
Waterford
CT 06385
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2011-01-13

Other licenses

ID Credential Code Credential Type Issue Term Status
538997 1.007856 Physician/Surgeon 1955-06-03 2009-12-01 - 2010-11-30 INACTIVE

Office Location

Street Address 58 RIDGEWOOD AVE
City WATERFORD
State CT
Zip Code 06385

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Vincent F Donato 26 Wild Rose Avenue, Waterford, CT 06385 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
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Donna M Rivero · Knupp 3 Ridgewood Ave, Waterford, CT 06385 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Margaret A Goldschneider · Chapman 3 High Ridge Drive, Waterford, CT 06385 Registered Nurse 2020-09-01 ~ 2021-08-31
Frank R Dellacono Md 201 Boston Post Road, Waterford, CT 06385 Physician/surgeon 2020-07-01 ~ 2021-06-30
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Competitor

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City WATERFORD
Zip Code 06385
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERFORD

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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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