RONALD J CZAJA
Controlled Substance Registration for Practitioner


Address: 150 Hazard Ave, Enfield, CT 06082

RONALD J CZAJA (Credential# 153724) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 27, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

RONALD J CZAJA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0007925. The credential type is controlled substance registration for practitioner. The effective date is April 27, 2004. The expiration date is February 28, 2005. The business address is 150 Hazard Ave, Enfield, CT 06082. The current status is inactive.

Basic Information

Licensee Name RONALD J CZAJA
Credential ID 153724
Credential Number CSP.0007925
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 150 Hazard Ave
Enfield
CT 06082
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-04-27
Effective Date 2004-04-27
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
539100 1.008226 Physician/Surgeon 1956-07-20 2003-12-12 - 2004-11-30 INACTIVE

Office Location

Street Address 150 HAZARD AVE
City ENFIELD
State CT
Zip Code 06082

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George M Donahue Md 150 Hazard Ave, Enfield, CT 06082-4575 Physician/surgeon 2020-03-01 ~ 2021-02-28
Lewis I Levenson 150 Hazard Ave, Enfield, CT 06082 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Richard A Kantor 150 Hazard Ave, Enfield, CT 06082 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28

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Competitor

Search similar business entities

City ENFIELD
Zip Code 06082
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ENFIELD

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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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