GENE KOPELSON
Controlled Substance Registration for Practitioner


Address: 139 Wild Rose Drive, Orange, CT 06477

GENE KOPELSON (Credential# 155814) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

GENE KOPELSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013670. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 139 Wild Rose Drive, Orange, CT 06477. The current status is inactive.

Basic Information

Licensee Name GENE KOPELSON
Credential ID 155814
Credential Number CSP.0013670
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 139 Wild Rose Drive
Orange
CT 06477
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
546257 1.026905 Physician/Surgeon 1985-11-27 2005-03-08 - 2006-04-30 INACTIVE

Office Location

Street Address 139 WILD ROSE DRIVE
City ORANGE
State CT
Zip Code 06477

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Competitor

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City ORANGE
Zip Code 06477
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ORANGE

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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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