CARL G KOPLIN
Controlled Substance Registration for Practitioner


Address: 54 Candlewood Dr., Tolland, CT 06084

CARL G KOPLIN (Credential# 154268) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 5, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

CARL G KOPLIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014124. The credential type is controlled substance registration for practitioner. The effective date is May 5, 2011. The expiration date is February 28, 2013. The business address is 54 Candlewood Dr., Tolland, CT 06084. The current status is inactive.

Basic Information

Licensee Name CARL G KOPLIN
Credential ID 154268
Credential Number CSP.0014124
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 54 Candlewood Dr.
Tolland
CT 06084
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-05-05
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
546465 1.027246 Physician/Surgeon 1986-05-09 2011-09-01 - 2012-08-31 INACTIVE
163138 CSP.0021974 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1996-01-23 - 1997-02-28 INACTIVE

Office Location

Street Address 54 Candlewood Dr.
City Tolland
State CT
Zip Code 06084

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Competitor

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City Tolland
Zip Code 06084
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Tolland

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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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