RALPH M FALK
Controlled Substance Registration for Practitioner


Address: P.o. Box 369, Exeter, NH 03833-0369

RALPH M FALK (Credential# 157597) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 2, 1995. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

RALPH M FALK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017739. The credential type is controlled substance registration for practitioner. The effective date is October 2, 1995. The expiration date is February 28, 1997. The business address is P.o. Box 369, Exeter, NH 03833-0369. The current status is inactive.

Basic Information

Licensee Name RALPH M FALK
Credential ID 157597
Credential Number CSP.0017739
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address P.o. Box 369
Exeter
NH 03833-0369
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1995-10-02
Expiration Date 1997-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
548418 1.030378 Physician/Surgeon 1989-10-06 1995-02-16 - 1996-02-29 INACTIVE

Office Location

Street Address P.O. BOX 369
City EXETER
State NH
Zip Code 03833-0369

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Competitor

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City EXETER
Zip Code 03833
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EXETER

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Ralph J Burnard II 27 Hospital Ave, Danbury, CT 06810 Controlled Substance Registration for Practitioner 1993-06-14 ~ 1995-07-01
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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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