MICHAEL EZEKOWITZ MD
Controlled Substance Registration for Practitioner


Address: 41 Country Club Dr, Woodbridge, CT 06525

MICHAEL EZEKOWITZ MD (Credential# 153984) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.

Business Overview

MICHAEL EZEKOWITZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016788. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2001. The expiration date is February 28, 2002. The business address is 41 Country Club Dr, Woodbridge, CT 06525. The current status is inactive.

Basic Information

Licensee Name MICHAEL EZEKOWITZ MD
Credential ID 153984
Credential Number CSP.0016788
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 41 Country Club Dr
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2001-03-01
Expiration Date 2002-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
544887 1.024185 Physician/Surgeon 1982-11-17 2001-02-13 - 2002-01-31 INACTIVE

Office Location

Street Address 41 COUNTRY CLUB DR
City WOODBRIDGE
State CT
Zip Code 06525

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Smadar Kometz-rock 41 Country Club Dr, Woodbridge, CT 06525 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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Patricia A Kenyon · Leskow 8 Maple Terrace, Woodbridge, CT 06525 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

Search similar business entities

City WOODBRIDGE
Zip Code 06525
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBRIDGE

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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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