RUSSELL A LOBB MD
Controlled Substance Registration for Practitioner


Address: 6 Long Hill Rd Ext, Deep River, CT 06417

RUSSELL A LOBB MD (Credential# 154400) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 11, 1993. The license expiration date date is March 1, 1995. The license status is INACTIVE.

Business Overview

RUSSELL A LOBB MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016862. The credential type is controlled substance registration for practitioner. The effective date is February 11, 1993. The expiration date is March 1, 1995. The business address is 6 Long Hill Rd Ext, Deep River, CT 06417. The current status is inactive.

Basic Information

Licensee Name RUSSELL A LOBB MD
Credential ID 154400
Credential Number CSP.0016862
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 6 Long Hill Rd Ext
Deep River
CT 06417
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1993-02-11
Expiration Date 1995-03-01
Refresh Date 2004-04-23

Office Location

Street Address 6 LONG HILL RD EXT
City DEEP RIVER
State CT
Zip Code 06417

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Competitor

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City DEEP RIVER
Zip Code 06417
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DEEP RIVER

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Shawn Russell Md 28 Lincoln Dr, New Canaan, CT 06840 Controlled Substance Registration for Practitioner 1999-03-01 ~ 2000-02-28
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Russell R Jaicks 514 H So Dargan St, Florence, SC 29501 Controlled Substance Registration for Practitioner 1996-03-01 ~ 1997-02-28
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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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