JEFFREY S ISENBERG MD
Controlled Substance Registration for Practitioner


Address: 6112 Towne Walk Drive, Hamden, CT 06518

JEFFREY S ISENBERG MD (Credential# 160898) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 7, 1994. The license expiration date date is November 1, 1996. The license status is INACTIVE.

Business Overview

JEFFREY S ISENBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020528. The credential type is controlled substance registration for practitioner. The effective date is November 7, 1994. The expiration date is November 1, 1996. The business address is 6112 Towne Walk Drive, Hamden, CT 06518. The current status is inactive.

Basic Information

Licensee Name JEFFREY S ISENBERG MD
Credential ID 160898
Credential Number CSP.0020528
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 6112 Towne Walk Drive
Hamden
CT 06518
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-11-07
Expiration Date 1996-11-01
Refresh Date 2005-12-15

Office Location

Street Address 6112 TOWNE WALK DRIVE
City HAMDEN
State CT
Zip Code 06518

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Competitor

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City HAMDEN
Zip Code 06518
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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