CHARLES G LEONHARDT
Controlled Substance Registration for Practitioner


Address: 739 Orchard Rd, Kensington, CT 06037

CHARLES G LEONHARDT (Credential# 149586) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 24, 1994. The license expiration date date is March 1, 1996. The license status is INACTIVE.

Business Overview

CHARLES G LEONHARDT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0001716. The credential type is controlled substance registration for practitioner. The effective date is May 24, 1994. The expiration date is March 1, 1996. The business address is 739 Orchard Rd, Kensington, CT 06037. The current status is inactive.

Basic Information

Licensee Name CHARLES G LEONHARDT
Credential ID 149586
Credential Number CSP.0001716
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 739 Orchard Rd
Kensington
CT 06037
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Effective Date 1994-05-24
Expiration Date 1996-03-01
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
538938 1.007630 Physician/Surgeon 1954-08-19 1994-03-10 - 1995-05-31 INACTIVE

Office Location

Street Address 739 ORCHARD RD
City KENSINGTON
State CT
Zip Code 06037

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City KENSINGTON
Zip Code 06037
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KENSINGTON

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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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