LOUIS B GOLDBLATT
Controlled Substance Registration for Practitioner


Address: 100 Fanning Ave, Norwich, CT 06360

LOUIS B GOLDBLATT (Credential# 152963) 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

LOUIS B GOLDBLATT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0005910. 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 100 Fanning Ave, Norwich, CT 06360. The current status is inactive.

Basic Information

Licensee Name LOUIS B GOLDBLATT
Credential ID 152963
Credential Number CSP.0005910
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 100 Fanning Ave
Norwich
CT 06360
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
699403 2.001957 Dentist 1944-01-08 2003-05-08 - 2004-05-31 INACTIVE

Office Location

Street Address 100 FANNING AVE
City NORWICH
State CT
Zip Code 06360

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Competitor

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City NORWICH
Zip Code 06360
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWICH

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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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