JAMES H BLUME DPM
Controlled Substance Registration for Practitioner


Address: 508 Blake St, New Haven, CT 06515-1287

JAMES H BLUME DPM (Credential# 151763) 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 INACTIVE.

Business Overview

JAMES H BLUME DPM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0003394. 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 508 Blake St, New Haven, CT 06515-1287. The current status is inactive.

Basic Information

Licensee Name JAMES H BLUME DPM
Credential ID 151763
Credential Number CSP.0003394
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 508 Blake St
New Haven
CT 06515-1287
Business Type INDIVIDUAL
Status INACTIVE - SURRENDERED
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2017-12-18

Other licenses

ID Credential Code Credential Type Issue Term Status
698726 19.000014 Podiatrist 1955-10-03 2017-04-01 - 2018-03-31 INACTIVE

Office Location

Street Address 508 BLAKE ST
City NEW HAVEN
State CT
Zip Code 06515-1287

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Peter A Blume 508 Blake St, New Haven, CT 06515 Podiatrist 2020-09-01 ~ 2021-08-31
Farlyn R Charlot-wadley 508 Blake St, New Haven, CT 06515-1287 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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Competitor

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City NEW HAVEN
Zip Code 06515
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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