SUSAN MATHEW MD
Controlled Substance Registration for Practitioner


Address: 10 Point Comfort, Waterford, CT 06385

SUSAN MATHEW MD (Credential# 158528) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

SUSAN MATHEW MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018970. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 10 Point Comfort, Waterford, CT 06385. The current status is inactive.

Basic Information

Licensee Name SUSAN MATHEW MD
Credential ID 158528
Credential Number CSP.0018970
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 10 Point Comfort
Waterford
CT 06385
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
549002 1.031212 Physician/Surgeon 1990-11-09 2009-11-01 - 2010-10-31 INACTIVE

Office Location

Street Address 10 POINT COMFORT
City WATERFORD
State CT
Zip Code 06385

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Competitor

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City WATERFORD
Zip Code 06385
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERFORD

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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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