LESLIE J HAIN MD
Controlled Substance Registration for Practitioner


Address: 15 Aldo Dr, Woodbridge, CT 06525

LESLIE J HAIN MD (Credential# 424449) 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

LESLIE J HAIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038648. 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 15 Aldo Dr, Woodbridge, CT 06525. The current status is inactive.

Basic Information

Licensee Name LESLIE J HAIN MD
Credential ID 424449
Credential Number CSP.0038648
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 15 Aldo Dr
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-12-20
Effective Date 2008-03-01
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
561539 1.043957 Physician/Surgeon 2005-11-25 2007-12-24 - 2009-02-28 INACTIVE

Office Location

Street Address 15 ALDO DR
City WOODBRIDGE
State CT
Zip Code 06525

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Competitor

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City WOODBRIDGE
Zip Code 06525
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBRIDGE

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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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