MICHAEL S PHIPPS MD
Controlled Substance Registration for Practitioner


Address: 157 Leeder Hill Dr #501, Hamden, CT 06517

MICHAEL S PHIPPS MD (Credential# 418052) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

MICHAEL S PHIPPS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038400. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 157 Leeder Hill Dr #501, Hamden, CT 06517. The current status is inactive.

Basic Information

Licensee Name MICHAEL S PHIPPS MD
Credential ID 418052
Credential Number CSP.0038400
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 157 Leeder Hill Dr #501
Hamden
CT 06517
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-10-18
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
563251 1.045669 Physician/Surgeon 2007-07-19 2013-02-01 - 2014-01-31 INACTIVE
375095 CSP.0035288 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-07-19 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 157 LEEDER HILL DR #501
City HAMDEN
State CT
Zip Code 06517

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Madeline A Dick Md 157 Leeder Hill Dr #501, Hamden, CT 06517 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28

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Competitor

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City HAMDEN
Zip Code 06517
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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