RUSHTON S ZEPERNICK DO
Controlled Substance Registration for Practitioner


Address: 80 Glenbrook Ln, Longmeadow, MA 01106-2810

RUSHTON S ZEPERNICK DO (Credential# 1007018) 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

RUSHTON S ZEPERNICK DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050813. 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 80 Glenbrook Ln, Longmeadow, MA 01106-2810. The current status is inactive.

Basic Information

Licensee Name RUSHTON S ZEPERNICK DO
Credential ID 1007018
Credential Number CSP.0050813
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 80 Glenbrook Ln
Longmeadow
MA 01106-2810
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-07-18
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
994942 1.050097-DO Physician/Surgeon 2011-07-11 2013-11-01 - 2014-10-31 INACTIVE

Office Location

Street Address 80 GLENBROOK LN
City LONGMEADOW
State MA
Zip Code 01106-2810

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City LONGMEADOW
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License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONGMEADOW

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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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