JAMES D SULLIVAN DDS
Controlled Substance Registration for Practitioner


Address: 15 Drumlin Road, West Simsbury, CT 06092

JAMES D SULLIVAN DDS (Credential# 147207) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 15, 1993. The license expiration date date is February 1, 1995. The license status is INACTIVE.

Business Overview

JAMES D SULLIVAN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0000489. The credential type is controlled substance registration for practitioner. The effective date is March 15, 1993. The expiration date is February 1, 1995. The business address is 15 Drumlin Road, West Simsbury, CT 06092. The current status is inactive.

Basic Information

Licensee Name JAMES D SULLIVAN DDS
Credential ID 147207
Credential Number CSP.0000489
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 15 Drumlin Road
West Simsbury
CT 06092
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1993-03-15
Expiration Date 1995-02-01
Refresh Date 2004-04-23

Office Location

Street Address 15 DRUMLIN ROAD
City WEST SIMSBURY
State CT
Zip Code 06092

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Competitor

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City WEST SIMSBURY
Zip Code 06092
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST SIMSBURY

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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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