GRACE H LIN MD
Controlled Substance Registration for Practitioner


Address: 150 Southfield Av 1140, Stamford, CT 06902

GRACE H LIN MD (Credential# 379388) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

GRACE H LIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035689. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 150 Southfield Av 1140, Stamford, CT 06902. The current status is inactive.

Basic Information

Licensee Name GRACE H LIN MD
Credential ID 379388
Credential Number CSP.0035689
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 150 Southfield Av 1140
Stamford
CT 06902
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-09-15
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Office Location

Street Address 150 SOUTHFIELD AV 1140
City STAMFORD
State CT
Zip Code 06902

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Competitor

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City STAMFORD
Zip Code 06902
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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