BORIS A LORBERG
Controlled Substance Registration for Practitioner


Address: 505 Russell St, New Haven, CT 06513

BORIS A LORBERG (Credential# 380470) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

BORIS A LORBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035985. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 505 Russell St, New Haven, CT 06513. The current status is inactive.

Basic Information

Licensee Name BORIS A LORBERG
Credential ID 380470
Credential Number CSP.0035985
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 505 Russell St
New Haven
CT 06513
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-09-21
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
561292 1.043710 Physician/Surgeon 2005-08-05 2006-05-24 - 2007-06-30 INACTIVE

Office Location

Street Address 505 RUSSELL ST
City NEW HAVEN
State CT
Zip Code 06513

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Competitor

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City NEW HAVEN
Zip Code 06513
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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