NATHAN G LAFAYETTE
Controlled Substance Registration for Practitioner


Address: 777 South St, Middlebury, CT 06762-3506

NATHAN G LAFAYETTE (Credential# 1005075) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

NATHAN G LAFAYETTE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050615. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 777 South St, Middlebury, CT 06762-3506. The current status is inactive.

Basic Information

Licensee Name NATHAN G LAFAYETTE
Credential ID 1005075
Credential Number CSP.0050615
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 777 South St
Middlebury
CT 06762-3506
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-07-24
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 777 SOUTH ST
City MIDDLEBURY
State CT
Zip Code 06762-3506

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Competitor

Search similar business entities

City MIDDLEBURY
Zip Code 06762
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLEBURY

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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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