EUGENE A WINCHESTER
Controlled Substance Registration for Practitioner


Address: Eugene Winchester, Md, Mystic, CT 06355

EUGENE A WINCHESTER (Credential# 151212) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

EUGENE A WINCHESTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0008738. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is Eugene Winchester, Md, Mystic, CT 06355. The current status is lapsed.

Basic Information

Licensee Name EUGENE A WINCHESTER
Credential ID 151212
Credential Number CSP.0008738
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Eugene Winchester, Md
Mystic
CT 06355
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 1999-03-01
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
543732 1.021566 Physician/Surgeon 1979-07-03 2017-06-01 - 2018-05-31 INACTIVE

Office Location

Street Address Eugene Winchester, MD
City Mystic
State CT
Zip Code 06355

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Competitor

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City Mystic
Zip Code 06355
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Mystic

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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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