LOUISE A DEPODESTA MD
Controlled Substance Registration for Practitioner


Address: The Connect Hospice, Branford, CT 06405

LOUISE A DEPODESTA MD (Credential# 427324) 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

LOUISE A DEPODESTA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038747. 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 The Connect Hospice, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name LOUISE A DEPODESTA MD
Credential ID 427324
Credential Number CSP.0038747
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address The Connect Hospice
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-01-23
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
561575 1.043993 Physician/Surgeon 2005-12-21 2006-10-11 - 2007-10-31 INACTIVE

Office Location

Street Address THE CONNECT HOSPICE
City BRANFORD
State CT
Zip Code 06405

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Competitor

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City BRANFORD
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD

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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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