HAROLD J BODIN MD
Controlled Substance Registration for Practitioner


Address: 263 Old Salem Rd, Bozrah, CT 06334-1513

HAROLD J BODIN MD (Credential# 160714) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

HAROLD J BODIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017564. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 263 Old Salem Rd, Bozrah, CT 06334-1513. The current status is inactive.

Basic Information

Licensee Name HAROLD J BODIN MD
Credential ID 160714
Credential Number CSP.0017564
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 263 Old Salem Rd
Bozrah
CT 06334-1513
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
548126 1.029945 Physician/Surgeon 1989-05-12 2011-11-01 - 2012-10-31 INACTIVE

Office Location

Street Address 263 OLD SALEM RD
City BOZRAH
State CT
Zip Code 06334-1513

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Ann F Bodin 263 Old Salem Rd, Bozrah, CT 06334 Registered Nurse 2015-05-01 ~ 2016-04-30

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Competitor

Search similar business entities

City BOZRAH
Zip Code 06334
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BOZRAH

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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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