FREDERIC R KEIFER
Controlled Substance Registration for Practitioner


Address: P.o. Box 82, Bloomfield, CT 06002

FREDERIC R KEIFER (Credential# 145140) 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

FREDERIC R KEIFER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0006888. 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 P.o. Box 82, Bloomfield, CT 06002. The current status is inactive.

Basic Information

Licensee Name FREDERIC R KEIFER
Credential ID 145140
Credential Number CSP.0006888
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address P.o. Box 82
Bloomfield
CT 06002
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2007-01-11

Other licenses

ID Credential Code Credential Type Issue Term Status
540539 1.012951 Physician/Surgeon 1967-04-07 2005-11-17 - 2007-01-31 INACTIVE

Office Location

Street Address P.O. BOX 82
City BLOOMFIELD
State CT
Zip Code 06002

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Competitor

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City BLOOMFIELD
Zip Code 06002
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD

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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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