BENJAMIN T GALEN
Controlled Substance Registration for Practitioner


Address: 95 Avon St, New Haven, CT 06511-2422

BENJAMIN T GALEN (Credential# 951893) 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

BENJAMIN T GALEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048753. 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 95 Avon St, New Haven, CT 06511-2422. The current status is inactive.

Basic Information

Licensee Name BENJAMIN T GALEN
Credential ID 951893
Credential Number CSP.0048753
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 95 Avon St
New Haven
CT 06511-2422
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-10-20
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Office Location

Street Address 95 AVON ST
City NEW HAVEN
State CT
Zip Code 06511-2422

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Nicole Veilleux 97 Avon St, New Haven, CT 06511-2422 Registered Nurse 2018-06-01 ~ 2019-05-31

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Competitor

Search similar business entities

City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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