NORMA B GRANVILLE MD
Controlled Substance Registration for Practitioner


Address: 60 Loeffler Rd Apt P312, Bloomfield, CT 06002

NORMA B GRANVILLE MD (Credential# 153651) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

NORMA B GRANVILLE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0005077. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 60 Loeffler Rd Apt P312, Bloomfield, CT 06002. The current status is inactive.

Basic Information

Licensee Name NORMA B GRANVILLE MD
Credential ID 153651
Credential Number CSP.0005077
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 60 Loeffler Rd Apt P312
Bloomfield
CT 06002
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
539280 1.008836 Physician/Surgeon 1958-03-27 2006-11-02 - 2007-12-31 INACTIVE

Office Location

Street Address 60 LOEFFLER RD APT P312
City BLOOMFIELD
State CT
Zip Code 06002

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Competitor

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City BLOOMFIELD
Zip Code 06002
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD

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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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