CAMILLE C MICHAUD
Controlled Substance Registration for Practitioner


Address: 535 Woodward Ave Apt C, New Haven, CT 06512-1982

CAMILLE C MICHAUD (Credential# 1000996) 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

CAMILLE C MICHAUD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050374. 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 535 Woodward Ave Apt C, New Haven, CT 06512-1982. The current status is inactive.

Basic Information

Licensee Name CAMILLE C MICHAUD
Credential ID 1000996
Credential Number CSP.0050374
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 535 Woodward Ave Apt C
New Haven
CT 06512-1982
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-07-11
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
991517 1.050255 Physician/Surgeon 2011-08-22 2011-08-22 - 2012-03-31 INACTIVE

Office Location

Street Address 535 WOODWARD AVE APT C
City NEW HAVEN
State CT
Zip Code 06512-1982

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Competitor

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City NEW HAVEN
Zip Code 06512
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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