MICHAEL PINCUS DO
Controlled Substance Registration for Practitioner


Address: 94 Saint Botolph St Apt 4, Boston, MA 02116-6474

MICHAEL PINCUS DO (Credential# 928799) 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

MICHAEL PINCUS DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047634. 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 94 Saint Botolph St Apt 4, Boston, MA 02116-6474. The current status is inactive.

Basic Information

Licensee Name MICHAEL PINCUS DO
Credential ID 928799
Credential Number CSP.0047634
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 94 Saint Botolph St Apt 4
Boston
MA 02116-6474
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-05-17
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
918194 1.048649-DO Physician/Surgeon 2010-04-12 2013-01-01 - 2013-12-31 INACTIVE

Office Location

Street Address 94 SAINT BOTOLPH ST APT 4
City BOSTON
State MA
Zip Code 02116-6474

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Competitor

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City BOSTON
Zip Code 02116
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BOSTON

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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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