ELISA G TRIFFLEMAN
Controlled Substance Registration for Practitioner


Address: Cntrl Treatment Unit, New Haven, CT 06519

ELISA G TRIFFLEMAN (Credential# 162896) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 23, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.

Business Overview

ELISA G TRIFFLEMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021904. The credential type is controlled substance registration for practitioner. The effective date is March 23, 1998. The expiration date is February 28, 1999. The business address is Cntrl Treatment Unit, New Haven, CT 06519. The current status is inactive.

Basic Information

Licensee Name ELISA G TRIFFLEMAN
Credential ID 162896
Credential Number CSP.0021904
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Cntrl Treatment Unit
New Haven
CT 06519
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1998-03-23
Expiration Date 1999-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
550964 1.033365 Physician/Surgeon 1993-10-08 1997-12-18 - 1999-01-31 INACTIVE

Office Location

Street Address CNTRL TREATMENT UNIT
City NEW HAVEN
State CT
Zip Code 06519

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Competitor

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City NEW HAVEN
Zip Code 06519
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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