EDWIN H MULFORD II
Controlled Substance Registration for Practitioner


Address: Po Box 571, Chester, CT 06412

EDWIN H MULFORD II (Credential# 148071) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.

Business Overview

EDWIN H MULFORD II is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0000144. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1999. The expiration date is February 28, 2000. The business address is Po Box 571, Chester, CT 06412. The current status is inactive.

Basic Information

Licensee Name EDWIN H MULFORD II
Credential ID 148071
Credential Number CSP.0000144
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Po Box 571
Chester
CT 06412
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1999-03-01
Expiration Date 2000-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
538707 1.006604 Physician/Surgeon 1992-09-25 1998-05-11 - 1999-07-31 INACTIVE

Office Location

Street Address PO BOX 571
City CHESTER
State CT
Zip Code 06412

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Competitor

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City CHESTER
Zip Code 06412
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESTER

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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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