MICHAEL P ANTHONY DO
Controlled Substance Registration for Practitioner


Address: 692 Main St Apt 3, Shrewsbury, MA 01545-3043

MICHAEL P ANTHONY DO (Credential# 482238) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

MICHAEL P ANTHONY DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042598. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 692 Main St Apt 3, Shrewsbury, MA 01545-3043. The current status is inactive.

Basic Information

Licensee Name MICHAEL P ANTHONY DO
Credential ID 482238
Credential Number CSP.0042598
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 692 Main St Apt 3
Shrewsbury
MA 01545-3043
Business Type INDIVIDUAL
Status INACTIVE - SURRENDERED
Issue Date 2007-09-06
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2011-08-24

Other licenses

ID Credential Code Credential Type Issue Term Status
563380 1.045798-DO Physician/Surgeon 2007-08-23 2011-02-01 - 2011-05-17 INACTIVE

Office Location

Street Address 692 MAIN ST APT 3
City SHREWSBURY
State MA
Zip Code 01545-3043

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City SHREWSBURY
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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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