CONWELL B CARTER M.D.
Controlled Substance Registration for Practitioner


Address: 1408 Wensford Ct, Raleigh, NC 27615-7743

CONWELL B CARTER M.D. (Credential# 1047271) 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

CONWELL B CARTER M.D. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051870. 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 1408 Wensford Ct, Raleigh, NC 27615-7743. The current status is inactive.

Basic Information

Licensee Name CONWELL B CARTER M.D.
Credential ID 1047271
Credential Number CSP.0051870
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1408 Wensford Ct
Raleigh
NC 27615-7743
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-01-12
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
1035436 1.050445 Physician/Surgeon 2012-01-03 2014-02-01 - 2015-01-31 INACTIVE

Office Location

Street Address 1408 WENSFORD CT
City RALEIGH
State NC
Zip Code 27615-7743

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Competitor

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City RALEIGH
Zip Code 27615
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + RALEIGH

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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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