MICHAEL TAL MD
Controlled Substance Registration for Practitioner


Address: 24 Wensley Drive, Great Neck, NY 11021

MICHAEL TAL MD (Credential# 262228) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 2, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

MICHAEL TAL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030487. The credential type is controlled substance registration for practitioner. The effective date is April 2, 2013. The expiration date is February 28, 2015. The business address is 24 Wensley Drive, Great Neck, NY 11021. The current status is inactive.

Basic Information

Licensee Name MICHAEL TAL MD
Credential ID 262228
Credential Number CSP.0030487
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 24 Wensley Drive
Great Neck
NY 11021
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-03-01
Effective Date 2013-04-02
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
555113 1.037523 Physician/Surgeon 1999-02-12 2012-11-01 - 2013-10-31 INACTIVE

Office Location

Street Address 24 Wensley Drive
City GREAT NECK
State NY
Zip Code 11021

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Competitor

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City GREAT NECK
Zip Code 11021
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
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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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