MATTHEW E OETGEN
Controlled Substance Registration for Practitioner


Address: 450 Humphrey St, New Haven, CT 06511

MATTHEW E OETGEN (Credential# 379936) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

MATTHEW E OETGEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035768. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 450 Humphrey St, New Haven, CT 06511. The current status is inactive.

Basic Information

Licensee Name MATTHEW E OETGEN
Credential ID 379936
Credential Number CSP.0035768
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 450 Humphrey St
New Haven
CT 06511
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-09-14
Effective Date 2008-03-01
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Office Location

Street Address 450 HUMPHREY ST
City NEW HAVEN
State CT
Zip Code 06511

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Cary M Tucker 64 Bishop St, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Frank J Pannenborg 505 Ellsworth Ave, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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