ROBERT I SACK
Controlled Substance Registration for Practitioner


Address: 5410 Avenue Simone, Lutz, FL 33558-2828

ROBERT I SACK (Credential# 901992) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 13, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

ROBERT I SACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046922. The credential type is controlled substance registration for practitioner. The effective date is November 13, 2009. The expiration date is February 28, 2011. The business address is 5410 Avenue Simone, Lutz, FL 33558-2828. The current status is inactive.

Basic Information

Licensee Name ROBERT I SACK
Credential ID 901992
Credential Number CSP.0046922
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5410 Avenue Simone
Lutz
FL 33558-2828
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-11-13
Effective Date 2009-11-13
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
545995 1.026398 Physician/Surgeon 1985-06-04 2009-10-15 - 2010-02-28 INACTIVE

Office Location

Street Address 5410 AVENUE SIMONE
City LUTZ
State FL
Zip Code 33558-2828

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Competitor

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City LUTZ
Zip Code 33558
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LUTZ

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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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