ROBERT SOUFER MD
Controlled Substance Registration for Practitioner


Address: Va Ct Health Care System/111b, West Haven, CT 06516

ROBERT SOUFER MD (Credential# 158855) 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 ACTIVE.

Business Overview

ROBERT SOUFER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020034. 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 Va Ct Health Care System/111b, West Haven, CT 06516. The current status is active.

Basic Information

Licensee Name ROBERT SOUFER MD
Credential ID 158855
Credential Number CSP.0020034
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Va Ct Health Care System/111b
West Haven
CT 06516
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-06-07
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-13

Office Location

Street Address VA CT HEALTH CARE SYSTEM/111B
City WEST HAVEN
State CT
Zip Code 06516

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Monica M Skakacz 19 Cowpen Rd, West Haven, CT 06516 Registered Nurse 2020-05-01 ~ 2021-04-30
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Dyaija Soriano 29 Ridge Court East, West Haven, CT 06516 Esthetician 2020-06-26 ~ 2022-05-31
Katherine M Grable 13 Perry Merrill Drive, West Haven, CT 06516 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WEST HAVEN
Zip Code 06516
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN

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Robert J Miller Dds 133 Fifth St, Stamford, CT 06905 Controlled Substance Registration for Practitioner 1996-03-01 ~ 1997-02-28
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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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