DANIEL PALLIN
Controlled Substance Registration for Practitioner


Address: 52 Kinnaird St, Cambridge, MA 02139-3128

DANIEL PALLIN (Credential# 2000777) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 21, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

DANIEL PALLIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073046. The credential type is controlled substance registration for practitioner. The effective date is January 21, 2020. The expiration date is February 28, 2021. The business address is 52 Kinnaird St, Cambridge, MA 02139-3128. The current status is active.

Basic Information

Licensee Name DANIEL PALLIN
Credential ID 2000777
Credential Number CSP.0073046
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 52 Kinnaird St
Cambridge
MA 02139-3128
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-01-21
Effective Date 2020-01-21
Expiration Date 2021-02-28
Refresh Date 2020-01-23

Other licenses

ID Credential Code Credential Type Issue Term Status
1684347 1.064730 Physician/Surgeon 2020-01-20 2020-01-20 - 2020-12-31 ACTIVE

Office Location

Street Address 52 KINNAIRD ST
City CAMBRIDGE
State MA
Zip Code 02139-3128

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Competitor

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City CAMBRIDGE
Zip Code 02139
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CAMBRIDGE

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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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