ROBERT S LJUNGQUIST
Controlled Substance Registration for Practitioner


Address: 388 E Main St, Branford, CT 06405-2914

ROBERT S LJUNGQUIST (Credential# 149135) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

ROBERT S LJUNGQUIST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0012162. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 388 E Main St, Branford, CT 06405-2914. The current status is inactive.

Basic Information

Licensee Name ROBERT S LJUNGQUIST
Credential ID 149135
Credential Number CSP.0012162
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 388 E Main St
Branford
CT 06405-2914
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
543064 1.019534 Physician/Surgeon 1977-07-29 2012-11-01 - 2013-10-31 INACTIVE

Office Location

Street Address 388 E MAIN ST
City BRANFORD
State CT
Zip Code 06405-2914

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Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
James J Ciarcia Md 388 East Main St, Branford, CT 06405-2914 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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Raymond M Johnson 39 Bayberry Lane, Branford, CT 06405 Physician/surgeon 2020-07-01 ~ 2021-06-30
Kirsten M Ranciato 288 East Main Street, Branford, CT 06405 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
Bimala Khadka Thapa 726 Robert Frost Dr., Branford, CT 06405 Nail Technician ~
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Cathleen Smith 50 First Avenue, Branford, CT 06405 Radiographer 2020-07-01 ~ 2021-06-30
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Competitor

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City BRANFORD
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD

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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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