LYNNE E MILLER MD
Controlled Substance Registration for Practitioner


Address: 509 Route 312, Brewster, NY 10509

LYNNE E MILLER MD (Credential# 155281) 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

LYNNE E MILLER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016178. 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 509 Route 312, Brewster, NY 10509. The current status is inactive.

Basic Information

Licensee Name LYNNE E MILLER MD
Credential ID 155281
Credential Number CSP.0016178
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 509 Route 312
Brewster
NY 10509
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-04-26
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
547365 1.028759 Physician/Surgeon 1987-12-31 2013-04-01 - 2014-03-31 INACTIVE

Office Location

Street Address 509 ROUTE 312
City BREWSTER
State NY
Zip Code 10509

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Competitor

Search similar business entities

City BREWSTER
Zip Code 10509
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BREWSTER

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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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