HERBERT C STOLOFF
Controlled Substance Registration for Practitioner


Address: 187 Old Mt Tom Rd, Bantam, CT 06750

HERBERT C STOLOFF (Credential# 160401) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 10, 1995. The license expiration date date is February 28, 1996. The license status is INACTIVE.

Business Overview

HERBERT C STOLOFF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019480. The credential type is controlled substance registration for practitioner. The effective date is February 10, 1995. The expiration date is February 28, 1996. The business address is 187 Old Mt Tom Rd, Bantam, CT 06750. The current status is inactive.

Basic Information

Licensee Name HERBERT C STOLOFF
Credential ID 160401
Credential Number CSP.0019480
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 187 Old Mt Tom Rd
Bantam
CT 06750
Business Type INDIVIDUAL
Status INACTIVE - SURRENDERED
Effective Date 1995-02-10
Expiration Date 1996-02-28
Refresh Date 2008-07-15

Other licenses

ID Credential Code Credential Type Issue Term Status
544276 1.022770 Physician/Surgeon 1981-04-28 1994-07-12 - 1995-08-15 INACTIVE

Office Location

Street Address 187 OLD MT TOM RD
City BANTAM
State CT
Zip Code 06750

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Competitor

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City BANTAM
Zip Code 06750
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BANTAM

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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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