CHRISTOPHER LEON CAMPBELL
Controlled Substance Registration for Practitioner


Address: 823 Walnut Hill Rd, Orange, CT 06477-1239

CHRISTOPHER LEON CAMPBELL (Credential# 1587580) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

CHRISTOPHER LEON CAMPBELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069224. The credential type is controlled substance registration for practitioner. The effective date is February 1, 2020. The expiration date is February 28, 2021. The business address is 823 Walnut Hill Rd, Orange, CT 06477-1239. The current status is active.

Basic Information

Licensee Name CHRISTOPHER LEON CAMPBELL
Credential ID 1587580
Credential Number CSP.0069224
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 823 Walnut Hill Rd
Orange
CT 06477-1239
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-08-02
Effective Date 2020-02-01
Expiration Date 2021-02-28
Refresh Date 2020-02-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1523287 23.004181 Physician Assistant 2018-08-02 2020-03-01 - 2021-02-28 ACTIVE
1587656 CSP.0069233 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2018-08-03 2019-03-01 - 2021-02-28 ACTIVE
1523427 23-TEMP Physician Assistant Temporary Permit - PENDING
1523426 23 Physician Assistant - EXPIRED APPLICATION

Office Location

Street Address 823 WALNUT HILL RD
City ORANGE
State CT
Zip Code 06477-1239

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Competitor

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City ORANGE
Zip Code 06477
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ORANGE

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Leon W Zimmerman Md 85 Seymour St, Hartford, CT 06106 Controlled Substance Registration for Practitioner 1999-03-01 ~ 2000-02-28
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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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