JOSE M MULLEN MD
Controlled Substance Registration for Practitioner


Address: Po Box 387, Colchester, CT 06415

JOSE M MULLEN MD (Credential# 157117) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

JOSE M MULLEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016645. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is Po Box 387, Colchester, CT 06415. The current status is inactive.

Basic Information

Licensee Name JOSE M MULLEN MD
Credential ID 157117
Credential Number CSP.0016645
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Po Box 387
Colchester
CT 06415
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
791358 9.0H1235 Homeopathic Physician 1989-01-30 2009-01-20 - 2010-03-31 INACTIVE
547758 1.029397 Physician/Surgeon 1988-08-18 2009-01-20 - 2010-03-31 INACTIVE

Office Location

Street Address PO BOX 387
City COLCHESTER
State CT
Zip Code 06415

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Competitor

Search similar business entities

City COLCHESTER
Zip Code 06415
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COLCHESTER

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John M Flanzer Md 17 Mullen Hill Road, Windham, CT 06280 Controlled Substance Registration for Practitioner 2000-02-29 ~ 2001-02-28
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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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