EDMUND A BASHKIN
Controlled Substance Registration for Practitioner


Address: 69 Ciderbrook Road, Avon, CT 06001

EDMUND A BASHKIN (Credential# 153112) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 14, 1994. The license expiration date date is July 1, 1996. The license status is INACTIVE.

Business Overview

EDMUND A BASHKIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011080. The credential type is controlled substance registration for practitioner. The effective date is July 14, 1994. The expiration date is July 1, 1996. The business address is 69 Ciderbrook Road, Avon, CT 06001. The current status is inactive.

Basic Information

Licensee Name EDMUND A BASHKIN
Credential ID 153112
Credential Number CSP.0011080
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 69 Ciderbrook Road
Avon
CT 06001
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-07-14
Expiration Date 1996-07-01
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
544826 1.023947 Physician/Surgeon 1982-09-20 1994-07-11 - 1995-08-31 INACTIVE

Office Location

Street Address 69 CIDERBROOK ROAD
City AVON
State CT
Zip Code 06001

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Competitor

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City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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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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