JOHN V HAXO
Controlled Substance Registration for Practitioner


Address: Po Box 2265, Marbledale, CT 06777

JOHN V HAXO (Credential# 144376) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 12, 1995. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

JOHN V HAXO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0008207. The credential type is controlled substance registration for practitioner. The effective date is September 12, 1995. The expiration date is February 28, 1997. The business address is Po Box 2265, Marbledale, CT 06777. The current status is inactive.

Basic Information

Licensee Name JOHN V HAXO
Credential ID 144376
Credential Number CSP.0008207
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Po Box 2265
Marbledale
CT 06777
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1995-09-12
Expiration Date 1997-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
538889 1.007444 Physician/Surgeon 1954-07-14 1995-05-10 - 1996-05-31 INACTIVE

Office Location

Street Address PO BOX 2265
City MARBLEDALE
State CT
Zip Code 06777

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Competitor

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City MARBLEDALE
Zip Code 06777
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MARBLEDALE

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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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