EILEEN FREEDMAN
Controlled Substance Registration for Practitioner


Address: 1665 Ellington Road, So Windsor, CT 06074

EILEEN FREEDMAN (Credential# 151805) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

EILEEN FREEDMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0009003. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 1665 Ellington Road, So Windsor, CT 06074. The current status is lapsed.

Basic Information

Licensee Name EILEEN FREEDMAN
Credential ID 151805
Credential Number CSP.0009003
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1665 Ellington Road
So Windsor
CT 06074
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 1999-03-11
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
543804 1.021699 Physician/Surgeon 1979-08-30 2017-01-01 - 2017-12-31 INACTIVE

Office Location

Street Address 1665 ELLINGTON ROAD
City SO WINDSOR
State CT
Zip Code 06074

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Competitor

Search similar business entities

City SO WINDSOR
Zip Code 06074
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SO WINDSOR

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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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