WILLIAM O GULLEY JR
Controlled Substance Registration for Practitioner


Address: 37 Caulkins Road, Norwich, CT 06360

WILLIAM O GULLEY JR (Credential# 158218) 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

WILLIAM O GULLEY JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016950. 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 37 Caulkins Road, Norwich, CT 06360. The current status is inactive.

Basic Information

Licensee Name WILLIAM O GULLEY JR
Credential ID 158218
Credential Number CSP.0016950
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 37 Caulkins Road
Norwich
CT 06360
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
544123 1.022403 Physician/Surgeon 1980-10-16 2015-02-01 - 2016-01-31 INACTIVE

Office Location

Street Address 37 Caulkins Road
City NORWICH
State CT
Zip Code 06360

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Competitor

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City NORWICH
Zip Code 06360
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWICH

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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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