TAL S M LEVY
Controlled Substance Registration for Practitioner


Address: 28 Pine Rdg, Woodbridge, CT 06525-1816

TAL S M LEVY (Credential# 946223) 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

TAL S M LEVY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048400. 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 28 Pine Rdg, Woodbridge, CT 06525-1816. The current status is inactive.

Basic Information

Licensee Name TAL S M LEVY
Credential ID 946223
Credential Number CSP.0048400
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 28 Pine Rdg
Woodbridge
CT 06525-1816
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-08-09
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
933809 1.049019 Physician/Surgeon 2010-07-21 2013-08-01 - 2014-07-31 INACTIVE

Office Location

Street Address 28 PINE RDG
City WOODBRIDGE
State CT
Zip Code 06525-1816

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Competitor

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City WOODBRIDGE
Zip Code 06525
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBRIDGE

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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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