PAUL LEBOWITZ MD
Controlled Substance Registration for Practitioner


Address: 960 Main St, Branford, CT 06405

PAUL LEBOWITZ MD (Credential# 196171) 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

PAUL LEBOWITZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021710. 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 960 Main St, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name PAUL LEBOWITZ MD
Credential ID 196171
Credential Number CSP.0021710
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 960 Main St
Branford
CT 06405
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
540809 1.013651 Physician/Surgeon 1968-10-02 2005-02-28 - 2006-04-30 INACTIVE

Office Location

Street Address 960 MAIN ST
City BRANFORD
State CT
Zip Code 06405

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Competitor

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City BRANFORD
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD

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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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