OREN BRODY
Controlled Substance Registration for Practitioner


Address: 22 Cheshire Dr, Longmeadow, MA 01106-2133

OREN BRODY (Credential# 1070196) 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

OREN BRODY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052402. 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 22 Cheshire Dr, Longmeadow, MA 01106-2133. The current status is inactive.

Basic Information

Licensee Name OREN BRODY
Credential ID 1070196
Credential Number CSP.0052402
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 22 Cheshire Dr
Longmeadow
MA 01106-2133
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-07-10
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1056832 1.050871-DO Physician/Surgeon 2012-04-30 2014-09-01 - 2015-08-31 INACTIVE

Office Location

Street Address 22 CHESHIRE DR
City LONGMEADOW
State MA
Zip Code 01106-2133

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Competitor

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City LONGMEADOW
Zip Code 01106
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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