DAVID B BINGHAM
Controlled Substance Registration for Practitioner


Address: 50 White Birch Road, Salem, CT 06420

DAVID B BINGHAM (Credential# 151491) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

DAVID B BINGHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0008156. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 50 White Birch Road, Salem, CT 06420. The current status is inactive.

Basic Information

Licensee Name DAVID B BINGHAM
Credential ID 151491
Credential Number CSP.0008156
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 50 White Birch Road
Salem
CT 06420
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
541283 1.014926 Physician/Surgeon 1971-11-09 2010-11-01 - 2011-10-31 INACTIVE

Office Location

Street Address 50 White Birch Road
City Salem
State CT
Zip Code 06420

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Competitor

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City Salem
Zip Code 06420
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Salem

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Michael Bingham 263 Farmington Ave, Farmington, CT 06030-0001 Controlled Substance Registration for Practitioner 2011-09-14 ~ 2013-02-28
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David F Lee Dds 521 3rd Ave Apt 2, New York, NY 10016-4747 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
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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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