ALAN J SMALLY MD
Controlled Substance Registration for Practitioner


Address: 20 Warner Ct, Glastonbury, CT 06033-5010

ALAN J SMALLY MD (Credential# 154055) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

ALAN J SMALLY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014931. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 20 Warner Ct, Glastonbury, CT 06033-5010. The current status is inactive.

Basic Information

Licensee Name ALAN J SMALLY MD
Credential ID 154055
Credential Number CSP.0014931
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 20 Warner Ct
Glastonbury
CT 06033-5010
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
546810 1.027847 Physician/Surgeon 1987-01-08 2013-08-01 - 2014-07-31 INACTIVE

Office Location

Street Address 20 WARNER CT
City GLASTONBURY
State CT
Zip Code 06033-5010

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Competitor

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City GLASTONBURY
Zip Code 06033
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY

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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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