PAUL PFEFFER MD
Controlled Substance Registration for Practitioner


Address: 167 Ridge Rd, Glastonbury, CT 06033-1900

PAUL PFEFFER MD (Credential# 158716) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.

Business Overview

PAUL PFEFFER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018045. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 167 Ridge Rd, Glastonbury, CT 06033-1900. The current status is inactive.

Basic Information

Licensee Name PAUL PFEFFER MD
Credential ID 158716
Credential Number CSP.0018045
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 167 Ridge Rd
Glastonbury
CT 06033-1900
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-24

Other licenses

ID Credential Code Credential Type Issue Term Status
548628 1.030697 Physician/Surgeon 1990-04-06 2018-11-01 - 2019-10-31 INACTIVE

Office Location

Street Address 167 RIDGE RD
City GLASTONBURY
State CT
Zip Code 06033-1900

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Noemi J Mezei 167 Ridge Rd, Glastonbury, CT 06033 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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Licensee Name Office Address Credential Effective / Expiration
Heather K Doherty 61 Ridge Rd, Glastonbury, CT 06033-1900 Certified Public Accountant Certificate 2020-01-01 ~ 2020-12-31

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Competitor

Search similar business entities

City GLASTONBURY
Zip Code 06033
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY

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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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