LORI FERNANDES MD
Controlled Substance Registration for Practitioner


Address: 306 Schoolside Lane, Guilford, CT 06437

LORI FERNANDES MD (Credential# 163641) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

LORI FERNANDES MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023032. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1996. The expiration date is February 28, 1997. The business address is 306 Schoolside Lane, Guilford, CT 06437. The current status is inactive.

Basic Information

Licensee Name LORI FERNANDES MD
Credential ID 163641
Credential Number CSP.0023032
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 306 Schoolside Lane
Guilford
CT 06437
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1996-03-01
Expiration Date 1997-02-28
Refresh Date 2009-01-26

Office Location

Street Address 306 SCHOOLSIDE LANE
City GUILFORD
State CT
Zip Code 06437

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Competitor

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City GUILFORD
Zip Code 06437
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GUILFORD

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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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