ADOLPH BUSHELL DDS
Controlled Substance Registration for Practitioner


Address: 61 S Main St, West Hartford, CT 06107-2486

ADOLPH BUSHELL DDS (Credential# 153587) 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

ADOLPH BUSHELL DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0005116. 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 61 S Main St, West Hartford, CT 06107-2486. The current status is inactive.

Basic Information

Licensee Name ADOLPH BUSHELL DDS
Credential ID 153587
Credential Number CSP.0005116
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 61 S Main St
West Hartford
CT 06107-2486
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
699513 2.002578 Dentist 1950-12-02 2012-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 61 S MAIN ST
City WEST HARTFORD
State CT
Zip Code 06107-2486

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City WEST HARTFORD
Zip Code 06107
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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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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