EDWARD F FOX MD
Controlled Substance Registration for Practitioner


Address: 111 Oakridge Rd, Bristol, CT 06010

EDWARD F FOX MD (Credential# 151339) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.

Business Overview

EDWARD F FOX MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0005807. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1998. The expiration date is February 28, 1999. The business address is 111 Oakridge Rd, Bristol, CT 06010. The current status is inactive.

Basic Information

Licensee Name EDWARD F FOX MD
Credential ID 151339
Credential Number CSP.0005807
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 111 Oakridge Rd
Bristol
CT 06010
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1998-03-01
Expiration Date 1999-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
539812 1.010832 Physician/Surgeon 1962-03-19 1996-11-14 - 1997-11-30 INACTIVE

Office Location

Street Address 111 OAKRIDGE RD
City BRISTOL
State CT
Zip Code 06010

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Competitor

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City BRISTOL
Zip Code 06010
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL

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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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