RUDOLPH J ROSS MD
Controlled Substance Registration for Practitioner


Address: 149 Bailey Rd, Middletown, CT 06457

RUDOLPH J ROSS MD (Credential# 156720) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.

Business Overview

RUDOLPH J ROSS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013867. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2002. The expiration date is February 28, 2003. The business address is 149 Bailey Rd, Middletown, CT 06457. The current status is inactive.

Basic Information

Licensee Name RUDOLPH J ROSS MD
Credential ID 156720
Credential Number CSP.0013867
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 149 Bailey Rd
Middletown
CT 06457
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2002-03-01
Expiration Date 2003-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
539276 1.008828 Physician/Surgeon 1957-12-06 2001-03-20 - 2002-03-31 INACTIVE

Office Location

Street Address 149 BAILEY RD
City MIDDLETOWN
State CT
Zip Code 06457

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN

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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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