WILLIAM F VAN ECK MD
Controlled Substance Registration for Practitioner


Address: 494 Thompson Ave, East Haven, CT 06512

WILLIAM F VAN ECK MD (Credential# 152539) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

WILLIAM F VAN ECK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0002928. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 494 Thompson Ave, East Haven, CT 06512. The current status is inactive.

Basic Information

Licensee Name WILLIAM F VAN ECK MD
Credential ID 152539
Credential Number CSP.0002928
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 494 Thompson Ave
East Haven
CT 06512
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2004-02-29
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
538757 1.006911 Physician/Surgeon 1952-03-28 2002-09-30 - 2003-10-31 INACTIVE

Office Location

Street Address 494 THOMPSON AVE
City EAST HAVEN
State CT
Zip Code 06512

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Competitor

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City EAST HAVEN
Zip Code 06512
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST 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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