RALPH W ROMANO JR
Controlled Substance Registration for Practitioner


Address: 42 Main Street, Southport, CT 06949

RALPH W ROMANO JR (Credential# 158316) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.

Business Overview

RALPH W ROMANO JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018928. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2002. The expiration date is February 28, 2003. The business address is 42 Main Street, Southport, CT 06949. The current status is inactive.

Basic Information

Licensee Name RALPH W ROMANO JR
Credential ID 158316
Credential Number CSP.0018928
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 42 Main Street
Southport
CT 06949
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2002-03-01
Expiration Date 2003-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
541874 1.016367 Physician/Surgeon 1973-11-02 2001-07-12 - 2002-07-31 INACTIVE

Office Location

Street Address 42 MAIN STREET
City Southport
State CT
Zip Code 06949

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Competitor

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City Southport
Zip Code 06949
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Southport

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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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