DALE KLEIN
Controlled Substance Registration for Practitioner


Address: 3103 Avalon Dr E, Orange, CT 06477-3645

DALE KLEIN (Credential# 903664) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2010. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

DALE KLEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046979. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2010. The expiration date is February 28, 2011. The business address is 3103 Avalon Dr E, Orange, CT 06477-3645. The current status is inactive.

Basic Information

Licensee Name DALE KLEIN
Credential ID 903664
Credential Number CSP.0046979
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3103 Avalon Dr E
Orange
CT 06477-3645
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-03-01
Effective Date 2010-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Office Location

Street Address 3103 AVALON DR E
City ORANGE
State CT
Zip Code 06477-3645

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Ramathilagam Ramasamy 4124 Avalon Dr E, Orange, CT 06477-3645 Registered Nurse 2019-08-01 ~ 2020-07-31

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Competitor

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City ORANGE
Zip Code 06477
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ORANGE

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Eric N Klein 85 Seymour St Ste 415, Hartford, CT 06106-5523 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
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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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