SAMUEL JOHNSON MD
Controlled Substance Registration for Practitioner


Address: 26 Adams St, New Britain, CT 06052

SAMUEL JOHNSON MD (Credential# 143788) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

SAMUEL JOHNSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0007630. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 26 Adams St, New Britain, CT 06052. The current status is inactive.

Basic Information

Licensee Name SAMUEL JOHNSON MD
Credential ID 143788
Credential Number CSP.0007630
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 26 Adams St
New Britain
CT 06052
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2007-01-16

Other licenses

ID Credential Code Credential Type Issue Term Status
538748 1.006875 Physician/Surgeon 1952-01-30 2005-11-18 - 2007-01-31 INACTIVE

Office Location

Street Address 26 ADAMS ST
City NEW BRITAIN
State CT
Zip Code 06052

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Elizabeth F Johnson 26 Adams St, New Britain, CT 06052 Registered Nurse 2005-02-16 ~ 2006-04-30

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Competitor

Search similar business entities

City NEW BRITAIN
Zip Code 06052
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW BRITAIN

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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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