WILLIAM J BURTIS MD
EMERSON HOSPITAL


Address: 131 Ornao, John Cuming Building, Concord, MA 01742

WILLIAM J BURTIS MD (Credential# 156750) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 22, 1994. The license expiration date date is July 1, 1996. The license status is INACTIVE.

Business Overview

WILLIAM J BURTIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014696. The credential type is controlled substance registration for practitioner. The effective date is July 22, 1994. The expiration date is July 1, 1996. The business address is 131 Ornao, John Cuming Building, Concord, MA 01742. The current status is inactive.

Basic Information

Licensee Name WILLIAM J BURTIS MD
Business Name EMERSON HOSPITAL
Credential ID 156750
Credential Number CSP.0014696
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 131 Ornao, John Cuming Building
Concord
MA 01742
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Effective Date 1994-07-22
Expiration Date 1996-07-01
Refresh Date 2004-04-23

Office Location

Street Address 131 ORNAO, JOHN CUMING BUILDING
City CONCORD
State MA
Zip Code 01742

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Competitor

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City CONCORD
Zip Code 01742
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CONCORD

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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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