LAWRENCE BASS
Controlled Substance Registration for Practitioner


Address: 72 Park St Ste 106, New Canaan, CT 06840-4532

LAWRENCE BASS (Credential# 1178167) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

LAWRENCE BASS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055842. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 72 Park St Ste 106, New Canaan, CT 06840-4532. The current status is active.

Basic Information

Licensee Name LAWRENCE BASS
Credential ID 1178167
Credential Number CSP.0055842
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 72 Park St Ste 106
New Canaan
CT 06840-4532
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-08-06
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-27

Other licenses

ID Credential Code Credential Type Issue Term Status
927315 2.010276 Dentist 2010-06-24 2019-08-01 - 2020-07-31 ACTIVE

Office Location

Street Address 72 PARK ST STE 106
City NEW CANAAN
State CT
Zip Code 06840-4532

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Competitor

Search similar business entities

City NEW CANAAN
Zip Code 06840
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW CANAAN

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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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