ELLEN F BIRCHALL MD
Controlled Substance Registration for Practitioner


Address: Po Box 1591, New London, CT 06320-1591

ELLEN F BIRCHALL MD (Credential# 156772) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 21, 1994. The license expiration date date is July 1, 1996. The license status is INACTIVE.

Business Overview

ELLEN F BIRCHALL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014718. The credential type is controlled substance registration for practitioner. The effective date is June 21, 1994. The expiration date is July 1, 1996. The business address is Po Box 1591, New London, CT 06320-1591. The current status is inactive.

Basic Information

Licensee Name ELLEN F BIRCHALL MD
Credential ID 156772
Credential Number CSP.0014718
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Po Box 1591
New London
CT 06320-1591
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-06-21
Expiration Date 1996-07-01
Refresh Date 2004-04-23

Office Location

Street Address PO BOX 1591
City NEW LONDON
State CT
Zip Code 06320-1591

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Competitor

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City NEW LONDON
Zip Code 06320
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW LONDON

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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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