EDWARD L ETKIND
Controlled Substance Registration for Practitioner


Address: 500 Ledge Dr, Torrington, CT 06790-2248

EDWARD L ETKIND (Credential# 158439) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 26, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

EDWARD L ETKIND is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016999. The credential type is controlled substance registration for practitioner. The effective date is March 26, 2013. The expiration date is February 28, 2015. The business address is 500 Ledge Dr, Torrington, CT 06790-2248. The current status is inactive.

Basic Information

Licensee Name EDWARD L ETKIND
Credential ID 158439
Credential Number CSP.0016999
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 500 Ledge Dr
Torrington
CT 06790-2248
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2013-03-26
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
540023 1.011524 Physician/Surgeon 1963-11-05 2013-10-01 - 2014-09-30 INACTIVE

Office Location

Street Address 500 LEDGE DR
City TORRINGTON
State CT
Zip Code 06790-2248

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Competitor

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City TORRINGTON
Zip Code 06790
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TORRINGTON

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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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