M S GANDELMAN MD
Controlled Substance Registration for Practitioner


Address: 22 Dogwood Ct, Cromwell, CT 06416

M S GANDELMAN MD (Credential# 157415) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 11, 1994. The license expiration date date is September 1, 1996. The license status is INACTIVE.

Business Overview

M S GANDELMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018717. The credential type is controlled substance registration for practitioner. The effective date is October 11, 1994. The expiration date is September 1, 1996. The business address is 22 Dogwood Ct, Cromwell, CT 06416. The current status is inactive.

Basic Information

Licensee Name M S GANDELMAN MD
Credential ID 157415
Credential Number CSP.0018717
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 22 Dogwood Ct
Cromwell
CT 06416
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-10-11
Expiration Date 1996-09-01
Refresh Date 2009-01-26

Office Location

Street Address 22 DOGWOOD CT
City CROMWELL
State CT
Zip Code 06416

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Competitor

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City CROMWELL
Zip Code 06416
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CROMWELL

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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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