KEVIN J BLOUNT
Controlled Substance Registration for Practitioner


Address: 2031 13th St Nw Apt 2, Washington, DC 20009-5086

KEVIN J BLOUNT (Credential# 528733) 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

KEVIN J BLOUNT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045309. 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 2031 13th St Nw Apt 2, Washington, DC 20009-5086. The current status is inactive.

Basic Information

Licensee Name KEVIN J BLOUNT
Credential ID 528733
Credential Number CSP.0045309
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2031 13th St Nw Apt 2
Washington
DC 20009-5086
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-04-02
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
565001 1.047419 Physician/Surgeon 2009-03-05 2013-07-01 - 2014-06-30 PENDING

Office Location

Street Address 2031 13TH ST NW APT 2
City WASHINGTON
State DC
Zip Code 20009-5086

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City WASHINGTON
Zip Code 20009
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WASHINGTON

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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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