LISA MH DRIES DO
Controlled Substance Registration for Practitioner


Address: 90 Ludlow Rd, Windsor, CT 06095

LISA MH DRIES DO (Credential# 380809) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 19, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

LISA MH DRIES DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036151. The credential type is controlled substance registration for practitioner. The effective date is March 19, 2008. The expiration date is February 28, 2009. The business address is 90 Ludlow Rd, Windsor, CT 06095. The current status is inactive.

Basic Information

Licensee Name LISA MH DRIES DO
Credential ID 380809
Credential Number CSP.0036151
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 90 Ludlow Rd
Windsor
CT 06095
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-08-30
Effective Date 2008-03-19
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Office Location

Street Address 90 LUDLOW RD
City WINDSOR
State CT
Zip Code 06095

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Competitor

Search similar business entities

City WINDSOR
Zip Code 06095
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WINDSOR

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Daniel L Dries 4 Gaylea Dr, Branford, CT 06405-5639 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
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Lisa C Gamache 20 Harris St, Pittsfield, MA 01201 Controlled Substance Registration for Practitioner 1994-09-07 ~ 1996-09-01

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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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