DOROTHY E GRICE MD
Controlled Substance Registration for Practitioner


Address: 8122 Ardleigh St, Philadelphia, PA 19118-3412

DOROTHY E GRICE MD (Credential# 157490) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 1, 1996. The license expiration date date is February 28, 1998. The license status is INACTIVE.

Business Overview

DOROTHY E GRICE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020571. The credential type is controlled substance registration for practitioner. The effective date is September 1, 1996. The expiration date is February 28, 1998. The business address is 8122 Ardleigh St, Philadelphia, PA 19118-3412. The current status is inactive.

Basic Information

Licensee Name DOROTHY E GRICE MD
Credential ID 157490
Credential Number CSP.0020571
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 8122 Ardleigh St
Philadelphia
PA 19118-3412
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1996-09-01
Expiration Date 1998-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
550231 1.032628 Physician/Surgeon 1992-10-09 1996-03-14 - 1997-03-31 INACTIVE

Office Location

Street Address 8122 ARDLEIGH ST
City PHILADELPHIA
State PA
Zip Code 19118-3412

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City PHILADELPHIA
Zip Code 19118
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PHILADELPHIA

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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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