FREDRIC SMILEN OD
Controlled Substance Registration for Practitioner


Address: 80 Mill River St., Stamford, CT 06902

FREDRIC SMILEN OD (Credential# 187019) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

FREDRIC SMILEN OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026085. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 80 Mill River St., Stamford, CT 06902. The current status is active.

Basic Information

Licensee Name FREDRIC SMILEN OD
Credential ID 187019
Credential Number CSP.0026085
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 80 Mill River St.
Stamford
CT 06902
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-27

Other licenses

ID Credential Code Credential Type Issue Term Status
762908 3.002279 Optometrist 1990-09-11 2019-09-01 - 2020-08-31 ACTIVE
531268 CSP.0045437 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER - PENDING

Office Location

Street Address 80 Mill River St.
City Stamford
State CT
Zip Code 06902

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Competitor

Search similar business entities

City Stamford
Zip Code 06902
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Stamford

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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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