CLIFFORD T CONKLIN JR
Controlled Substance Registration for Practitioner


Address: 16 Grand St, Thomaston, CT 06787

CLIFFORD T CONKLIN JR (Credential# 147397) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.

Business Overview

CLIFFORD T CONKLIN JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0006693. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1998. The expiration date is February 28, 1999. The business address is 16 Grand St, Thomaston, CT 06787. The current status is inactive.

Basic Information

Licensee Name CLIFFORD T CONKLIN JR
Credential ID 147397
Credential Number CSP.0006693
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 16 Grand St
Thomaston
CT 06787
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1998-03-01
Expiration Date 1999-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
538466 1.005305 Physician/Surgeon 1946-05-25 1997-10-29 - 1998-11-30 INACTIVE

Office Location

Street Address 16 GRAND ST
City THOMASTON
State CT
Zip Code 06787

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Competitor

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City THOMASTON
Zip Code 06787
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + THOMASTON

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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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