PAUL HETZEL MD
Controlled Substance Registration for Practitioner


Address: Mountain Laurel Prof Bldg, Enfield, CT 06082

PAUL HETZEL MD (Credential# 156875) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.

Business Overview

PAUL HETZEL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016576. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2001. The expiration date is February 28, 2002. The business address is Mountain Laurel Prof Bldg, Enfield, CT 06082. The current status is inactive.

Basic Information

Licensee Name PAUL HETZEL MD
Credential ID 156875
Credential Number CSP.0016576
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Mountain Laurel Prof Bldg
Enfield
CT 06082
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Effective Date 2001-03-01
Expiration Date 2002-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
547518 1.028999 Physician/Surgeon 1988-05-06 1998-08-07 - 1999-09-30 INACTIVE

Office Location

Street Address MOUNTAIN LAUREL PROF BLDG
City ENFIELD
State CT
Zip Code 06082

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Competitor

Search similar business entities

City ENFIELD
Zip Code 06082
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ENFIELD

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Paul A Shapiro Dds Main St, New Hartford, CT 06057 Controlled Substance Registration for Practitioner 1999-03-01 ~ 2000-02-28
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Paul M Giacopelli 236 Milltown Rd, Brewster, NY 10509-4315 Controlled Substance Registration for Practitioner 2019-10-01 ~ 2021-02-28
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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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