PATRICK K FOX
Controlled Substance Registration for Practitioner


Address: 168 Fairview Rd, Westbrook, CT 06498

PATRICK K FOX (Credential# 242525) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

PATRICK K FOX is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030153. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 168 Fairview Rd, Westbrook, CT 06498. The current status is inactive.

Basic Information

Licensee Name PATRICK K FOX
Credential ID 242525
Credential Number CSP.0030153
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 168 Fairview Rd
Westbrook
CT 06498
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
552928 1.035335 Physician/Surgeon 1996-06-28 2011-06-01 - 2012-05-31 INACTIVE

Office Location

Street Address 168 FAIRVIEW RD
City WESTBROOK
State CT
Zip Code 06498

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Competitor

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City WESTBROOK
Zip Code 06498
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTBROOK

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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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