NICHOLAS PRESTON MD
Controlled Substance Registration for Practitioner


Address: 101 Hamilton Ave, Watertown, CT 06795

NICHOLAS PRESTON MD (Credential# 147733) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

NICHOLAS PRESTON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0006947. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 101 Hamilton Ave, Watertown, CT 06795. The current status is inactive.

Basic Information

Licensee Name NICHOLAS PRESTON MD
Credential ID 147733
Credential Number CSP.0006947
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 101 Hamilton Ave
Watertown
CT 06795
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-03-01
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
538598 1.006057 Physician/Surgeon 1948-11-08 2006-08-29 - 2007-08-31 INACTIVE

Office Location

Street Address 101 HAMILTON AVE
City WATERTOWN
State CT
Zip Code 06795

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Competitor

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City WATERTOWN
Zip Code 06795
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERTOWN

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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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