BRYAN CONLEY ANDERSON
Controlled Substance Registration for Practitioner


Address: 368 Fountain St, New Haven, CT 06515-2612

BRYAN CONLEY ANDERSON (Credential# 1524614) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.

Business Overview

BRYAN CONLEY ANDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068726. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 368 Fountain St, New Haven, CT 06515-2612. The current status is inactive.

Basic Information

Licensee Name BRYAN CONLEY ANDERSON
Credential ID 1524614
Credential Number CSP.0068726
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 368 Fountain St
New Haven
CT 06515-2612
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2018-06-18
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1511378 47.004431 Veterinarian 2018-06-18 2018-10-01 - 2019-09-30 INACTIVE

Office Location

Street Address 368 FOUNTAIN ST
City NEW HAVEN
State CT
Zip Code 06515-2612

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Competitor

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City NEW HAVEN
Zip Code 06515
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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