BRADFORD J MARTIN MD
Controlled Substance Registration for Practitioner


Address: Surgi-ctr Anesthesiologists, Litchfield, CT 06759

BRADFORD J MARTIN MD (Credential# 160405) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.

Business Overview

BRADFORD J MARTIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019484. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is Surgi-ctr Anesthesiologists, Litchfield, CT 06759. The current status is inactive.

Basic Information

Licensee Name BRADFORD J MARTIN MD
Credential ID 160405
Credential Number CSP.0019484
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Surgi-ctr Anesthesiologists
Litchfield
CT 06759
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2005-03-01
Expiration Date 2006-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
549449 1.031754 Physician/Surgeon 1991-07-19 2005-03-10 - 2006-01-31 INACTIVE

Office Location

Street Address SURGI-CTR ANESTHESIOLOGISTS
City LITCHFIELD
State CT
Zip Code 06759

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Competitor

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City LITCHFIELD
Zip Code 06759
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LITCHFIELD

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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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