FREDRIC L ROSEN DDS
Controlled Substance Registration for Practitioner


Address: 315 Whitney Ave, New Haven, CT 06511

FREDRIC L ROSEN DDS (Credential# 151149) 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

FREDRIC L ROSEN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0002093. 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 315 Whitney Ave, New Haven, CT 06511. The current status is inactive.

Basic Information

Licensee Name FREDRIC L ROSEN DDS
Credential ID 151149
Credential Number CSP.0002093
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 315 Whitney Ave
New Haven
CT 06511
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
700425 2.004397 Dentist 1971-09-18 2012-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 315 WHITNEY AVE
City NEW HAVEN
State CT
Zip Code 06511

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Competitor

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City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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