ROBERT A FOX JR
Controlled Substance Registration for Practitioner


Address: 255 Old Colchester Turnpike, East Haddam, CT 06423

ROBERT A FOX JR (Credential# 154069) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is INACTIVE.

Business Overview

ROBERT A FOX JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014945. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 255 Old Colchester Turnpike, East Haddam, CT 06423. The current status is inactive.

Basic Information

Licensee Name ROBERT A FOX JR
Credential ID 154069
Credential Number CSP.0014945
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 255 Old Colchester Turnpike
East Haddam
CT 06423
Business Type INDIVIDUAL
Status INACTIVE - SURRENDERED
Issue Date 2005-03-01
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2017-08-18

Other licenses

ID Credential Code Credential Type Issue Term Status
546485 1.027281 Physician/Surgeon 1986-05-30 2016-12-01 - 2017-10-03 INACTIVE

Office Location

Street Address 255 Old Colchester Turnpike
City East Haddam
State CT
Zip Code 06423

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Competitor

Search similar business entities

City East Haddam
Zip Code 06423
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + East Haddam

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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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