RICHARD L C PENG
Controlled Substance Registration for Practitioner


Address: 567 Vauxhall St Suite 116, Waterford, CT 06385

RICHARD L C PENG (Credential# 148254) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

RICHARD L C PENG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013025. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 567 Vauxhall St Suite 116, Waterford, CT 06385. The current status is active.

Basic Information

Licensee Name RICHARD L C PENG
Credential ID 148254
Credential Number CSP.0013025
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 567 Vauxhall St Suite 116
Waterford
CT 06385
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-28

Office Location

Street Address 567 VAUXHALL ST SUITE 116
City WATERFORD
State CT
Zip Code 06385

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Competitor

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City WATERFORD
Zip Code 06385
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERFORD

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Richard Young Pa Belmont, VT 05730 Controlled Substance Registration for Practitioner 2003-03-01 ~ 2004-02-28
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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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