ROBERT QIU
Controlled Substance Registration for Practitioner


Address: 76 Ship Ave Apt 3, Medford, MA 02155

ROBERT QIU (Credential# 1288709) 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

ROBERT QIU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060435. 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 76 Ship Ave Apt 3, Medford, MA 02155. The current status is active.

Basic Information

Licensee Name ROBERT QIU
Credential ID 1288709
Credential Number CSP.0060435
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 76 Ship Ave Apt 3
Medford
MA 02155
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-06-10
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1489378 1.060165 Physician/Surgeon 2018-03-21 2019-10-01 - 2020-09-30 ACTIVE
1492004 1.059739-RES Resident Physician 2017-07-01 2018-07-01 - 2019-06-30 INACTIVE

Office Location

Street Address 76 Ship Ave Apt 3
City Medford
State MA
Zip Code 02155

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John J Dennis 92 High St Suite #1, Medford, MA 02155 Real Estate Broker 2020-04-01 ~ 2021-03-31
Megan A Jacques 14 Walsh Street, Medford, MA 02155 Registered Nurse 2020-02-01 ~ 2021-01-31
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Competitor

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City Medford
Zip Code 02155
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Medford

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Robert J Miller Dds 133 Fifth St, Stamford, CT 06905 Controlled Substance Registration for Practitioner 1996-03-01 ~ 1997-02-28
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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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