ANDREW THOMPSON
Controlled Substance Registration for Practitioner


Address: 679 E Main St, Middletown, CT 06457-4570

ANDREW THOMPSON (Credential# 1297349) 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 INACTIVE.

Business Overview

ANDREW THOMPSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060834. 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 679 E Main St, Middletown, CT 06457-4570. The current status is inactive.

Basic Information

Licensee Name ANDREW THOMPSON
Credential ID 1297349
Credential Number CSP.0060834
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 679 E Main St
Middletown
CT 06457-4570
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2015-07-02
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2020-04-21

Other licenses

ID Credential Code Credential Type Issue Term Status
1488255 1.057672-RES Resident Physician 2015-06-22 2015-06-22 - 2019-06-30 INACTIVE

Office Location

Street Address 679 E MAIN ST
City MIDDLETOWN
State CT
Zip Code 06457-4570

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN

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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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