NATHALIE M MICHAUD MD
Controlled Substance Registration for Practitioner


Address: 14 Colonial Rd, New Fairfield, CT 06812

NATHALIE M MICHAUD MD (Credential# 322031) 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

NATHALIE M MICHAUD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032662. 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 14 Colonial Rd, New Fairfield, CT 06812. The current status is inactive.

Basic Information

Licensee Name NATHALIE M MICHAUD MD
Credential ID 322031
Credential Number CSP.0032662
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 14 Colonial Rd
New Fairfield
CT 06812
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
558265 1.040682 Physician/Surgeon 2002-07-22 2011-10-01 - 2012-09-30 INACTIVE

Office Location

Street Address 14 COLONIAL RD
City NEW FAIRFIELD
State CT
Zip Code 06812

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Competitor

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City NEW FAIRFIELD
Zip Code 06812
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW FAIRFIELD

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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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