CLARE S BUCKINGHAM
Controlled Substance Registration for Practitioner


Address: 115 Highland Ave, Branford, CT 06405

CLARE S BUCKINGHAM (Credential# 1079733) 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

CLARE S BUCKINGHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052784. 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 115 Highland Ave, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name CLARE S BUCKINGHAM
Credential ID 1079733
Credential Number CSP.0052784
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 115 Highland Ave
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-07-17
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 115 Highland Ave
City Branford
State CT
Zip Code 06405

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Competitor

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City Branford
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Branford

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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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