DAVID L HEDBERG
Controlled Substance Registration for Practitioner


Address: 137 Burnham Road, Avon, CT 06001-2535

DAVID L HEDBERG (Credential# 157990) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

DAVID L HEDBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020732. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 137 Burnham Road, Avon, CT 06001-2535. The current status is inactive.

Basic Information

Licensee Name DAVID L HEDBERG
Credential ID 157990
Credential Number CSP.0020732
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 137 Burnham Road
Avon
CT 06001-2535
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
539746 1.010622 Physician/Surgeon 1961-08-07 2015-03-01 - 2016-02-29 INACTIVE

Office Location

Street Address 137 BURNHAM ROAD
City AVON
State CT
Zip Code 06001-2535

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Competitor

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City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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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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