KEVIN M DOOLEY MD
Controlled Substance Registration for Practitioner


Address: 77 Greenhurst Rd, W Hartford, CT 06107

KEVIN M DOOLEY MD (Credential# 186177) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.

Business Overview

KEVIN M DOOLEY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026159. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2001. The expiration date is February 28, 2002. The business address is 77 Greenhurst Rd, W Hartford, CT 06107. The current status is inactive.

Basic Information

Licensee Name KEVIN M DOOLEY MD
Credential ID 186177
Credential Number CSP.0026159
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 77 Greenhurst Rd
W Hartford
CT 06107
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2001-03-01
Expiration Date 2002-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
553890 1.036298 Physician/Surgeon 1997-08-15 2000-05-30 - 2001-08-31 INACTIVE

Office Location

Street Address 77 GREENHURST RD
City W HARTFORD
State CT
Zip Code 06107

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Competitor

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City W HARTFORD
Zip Code 06107
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + W HARTFORD

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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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