FRED C SPANNAUS JR
Controlled Substance Registration for Practitioner


Address: 295 North St Rt 199, Roxbury, CT 06783

FRED C SPANNAUS JR (Credential# 149764) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.

Business Overview

FRED C SPANNAUS JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0002013. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1999. The expiration date is February 28, 2000. The business address is 295 North St Rt 199, Roxbury, CT 06783. The current status is inactive.

Basic Information

Licensee Name FRED C SPANNAUS JR
Credential ID 149764
Credential Number CSP.0002013
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 295 North St Rt 199
Roxbury
CT 06783
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1999-03-01
Expiration Date 2000-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
538600 1.006066 Physician/Surgeon 1948-12-07 1998-04-07 - 1999-04-30 INACTIVE

Office Location

Street Address 295 NORTH ST RT 199
City ROXBURY
State CT
Zip Code 06783

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Competitor

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City ROXBURY
Zip Code 06783
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ROXBURY

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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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