CHARLES SHEARD
Controlled Substance Registration for Practitioner


Address: 5 Woodpath Drive, Northport, NY 11768

CHARLES SHEARD (Credential# 149689) 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

CHARLES SHEARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0000574. 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 5 Woodpath Drive, Northport, NY 11768. The current status is inactive.

Basic Information

Licensee Name CHARLES SHEARD
Credential ID 149689
Credential Number CSP.0000574
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5 Woodpath Drive
Northport
NY 11768
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
538618 1.006173 Physician/Surgeon 1949-06-22 1997-09-30 - 1998-11-30 INACTIVE

Office Location

Street Address 5 WOODPATH DRIVE
City NORTHPORT
State NY
Zip Code 11768

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Competitor

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City NORTHPORT
Zip Code 11768
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTHPORT

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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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