MARK D BAKER
Controlled Substance Registration for Practitioner


Address: Yale New Haven Pediatric Emer Dept, New Haven, CT 06504

MARK D BAKER (Credential# 181014) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

MARK D BAKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025553. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is Yale New Haven Pediatric Emer Dept, New Haven, CT 06504. The current status is inactive.

Basic Information

Licensee Name MARK D BAKER
Credential ID 181014
Credential Number CSP.0025553
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Yale New Haven Pediatric Emer Dept
New Haven
CT 06504
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
553583 1.035991 Physician/Surgeon 1997-05-09 2006-02-02 - 2006-12-31 INACTIVE

Office Location

Street Address YALE NEW HAVEN PEDIATRIC EMER DEPT
City NEW HAVEN
State CT
Zip Code 06504

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Competitor

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City NEW HAVEN
Zip Code 06504
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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