HOWARD L DISTELMAN
Controlled Substance Registration for Practitioner


Address: 515 Boston St, Guilford, CT 06437

HOWARD L DISTELMAN (Credential# 154338) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

HOWARD L DISTELMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015919. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 515 Boston St, Guilford, CT 06437. The current status is active.

Basic Information

Licensee Name HOWARD L DISTELMAN
Credential ID 154338
Credential Number CSP.0015919
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 515 Boston St
Guilford
CT 06437
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
547372 1.028769 Physician/Surgeon 1991-07-19 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 515 BOSTON ST
City GUILFORD
State CT
Zip Code 06437

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Bruce D Mccann 200 State St, Guilford, CT 06437 Architect 2020-08-01 ~ 2021-07-31
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Competitor

Search similar business entities

City GUILFORD
Zip Code 06437
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GUILFORD

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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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