DANIEL M MERRILL MD
Controlled Substance Registration for Practitioner


Address: 4 Country Woods Court, Gaithersburg, MD 20878

DANIEL M MERRILL MD (Credential# 245456) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.

Business Overview

DANIEL M MERRILL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030283. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 4 Country Woods Court, Gaithersburg, MD 20878. The current status is inactive.

Basic Information

Licensee Name DANIEL M MERRILL MD
Credential ID 245456
Credential Number CSP.0030283
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4 Country Woods Court
Gaithersburg
MD 20878
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-03-01
Effective Date 2005-03-01
Expiration Date 2006-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
557951 1.040368 Physician/Surgeon 2002-04-26 2003-05-02 - 2004-04-30 INACTIVE

Office Location

Street Address 4 COUNTRY WOODS COURT
City GAITHERSBURG
State MD
Zip Code 20878

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Competitor

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City GAITHERSBURG
Zip Code 20878
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GAITHERSBURG

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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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