DAVID L GROTEN MD
Controlled Substance Registration for Practitioner


Address: 281 Pheasant Glen, Shelton, CT 06484

DAVID L GROTEN MD (Credential# 158679) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 21, 1994. The license expiration date date is September 1, 1996. The license status is INACTIVE.

Business Overview

DAVID L GROTEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017070. The credential type is controlled substance registration for practitioner. The effective date is October 21, 1994. The expiration date is September 1, 1996. The business address is 281 Pheasant Glen, Shelton, CT 06484. The current status is inactive.

Basic Information

Licensee Name DAVID L GROTEN MD
Credential ID 158679
Credential Number CSP.0017070
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 281 Pheasant Glen
Shelton
CT 06484
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-10-21
Expiration Date 1996-09-01
Refresh Date 2005-12-15

Office Location

Street Address 281 PHEASANT GLEN
City SHELTON
State CT
Zip Code 06484

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Competitor

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City SHELTON
Zip Code 06484
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHELTON

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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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