GERALD F BURKE MD
Controlled Substance Registration for Practitioner


Address: 276 Main Street, Portland, CT 06480

GERALD F BURKE MD (Credential# 151106) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 20, 1994. The license expiration date date is July 1, 1996. The license status is INACTIVE.

Business Overview

GERALD F BURKE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0008117. The credential type is controlled substance registration for practitioner. The effective date is June 20, 1994. The expiration date is July 1, 1996. The business address is 276 Main Street, Portland, CT 06480. The current status is inactive.

Basic Information

Licensee Name GERALD F BURKE MD
Credential ID 151106
Credential Number CSP.0008117
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 276 Main Street
Portland
CT 06480
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Effective Date 1994-06-20
Expiration Date 1996-07-01
Refresh Date 2004-04-23

Office Location

Street Address 276 MAIN STREET
City PORTLAND
State CT
Zip Code 06480

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Competitor

Search similar business entities

City PORTLAND
Zip Code 06480
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PORTLAND

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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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