ELLIOTT M LEVY
Controlled Substance Registration for Practitioner


Address: 166 Linden St, New Haven, CT 06511

ELLIOTT M LEVY (Credential# 158974) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 3, 1994. The license expiration date date is March 1, 1996. The license status is INACTIVE.

Business Overview

ELLIOTT M LEVY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018137. The credential type is controlled substance registration for practitioner. The effective date is March 3, 1994. The expiration date is March 1, 1996. The business address is 166 Linden St, New Haven, CT 06511. The current status is inactive.

Basic Information

Licensee Name ELLIOTT M LEVY
Credential ID 158974
Credential Number CSP.0018137
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 166 Linden St
New Haven
CT 06511
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-03-03
Expiration Date 1996-03-01
Refresh Date 2005-12-15

Other licenses

ID Credential Code Credential Type Issue Term Status
548695 1.030787 Physician/Surgeon 1990-05-18 1993-06-24 - 1994-08-31 INACTIVE

Office Location

Street Address 166 LINDEN ST
City NEW HAVEN
State CT
Zip Code 06511

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Competitor

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City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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