RALPH K SAMBOR
Controlled Substance Registration for Practitioner


Address: 359 Farmington Ave., Plainville, CT 06062

RALPH K SAMBOR (Credential# 149915) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 16, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

RALPH K SAMBOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0003914. The credential type is controlled substance registration for practitioner. The effective date is June 16, 2017. The expiration date is February 28, 2019. The business address is 359 Farmington Ave., Plainville, CT 06062. The current status is lapsed.

Basic Information

Licensee Name RALPH K SAMBOR
Credential ID 149915
Credential Number CSP.0003914
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 359 Farmington Ave.
Plainville
CT 06062
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 1999-03-01
Effective Date 2017-06-16
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
700914 2.005253 Dentist 1901-01-01 2017-08-01 - 2018-07-31 INACTIVE

Office Location

Street Address 359 FARMINGTON AVE.
City PLAINVILLE
State CT
Zip Code 06062

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Competitor

Search similar business entities

City PLAINVILLE
Zip Code 06062
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PLAINVILLE

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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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