DAVID H ELLISON MD
Controlled Substance Registration for Practitioner


Address: 191 Ford Rd, Woddbridge, CT 06525

DAVID H ELLISON MD (Credential# 156011) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.

Business Overview

DAVID H ELLISON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013701. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is 191 Ford Rd, Woddbridge, CT 06525. The current status is inactive.

Basic Information

Licensee Name DAVID H ELLISON MD
Credential ID 156011
Credential Number CSP.0013701
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 191 Ford Rd
Woddbridge
CT 06525
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1997-03-01
Expiration Date 1998-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
546280 1.026951 Physician/Surgeon 1985-12-20 1996-12-02 - 1997-12-31 INACTIVE

Office Location

Street Address 191 FORD RD
City WODDBRIDGE
State CT
Zip Code 06525

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Competitor

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City WODDBRIDGE
Zip Code 06525
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WODDBRIDGE

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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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