SAMUEL M VANDERHOEK
Controlled Substance Registration for Practitioner


Address: 5807 Bradley Blvd, Bethesda, MD 20814-1104

SAMUEL M VANDERHOEK (Credential# 1071332) 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

SAMUEL M VANDERHOEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052441. 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 5807 Bradley Blvd, Bethesda, MD 20814-1104. The current status is inactive.

Basic Information

Licensee Name SAMUEL M VANDERHOEK
Credential ID 1071332
Credential Number CSP.0052441
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5807 Bradley Blvd
Bethesda
MD 20814-1104
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-06-19
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Office Location

Street Address 5807 BRADLEY BLVD
City BETHESDA
State MD
Zip Code 20814-1104

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Competitor

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City BETHESDA
Zip Code 20814
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BETHESDA

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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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