DANIEL W TRACY III
Controlled Substance Registration for Practitioner


Address: 100 Fanning Ave, Norwich, CT 06360

DANIEL W TRACY III (Credential# 160421) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 8, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

DANIEL W TRACY III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019502. The credential type is controlled substance registration for practitioner. The effective date is May 8, 2019. The expiration date is February 28, 2021. The business address is 100 Fanning Ave, Norwich, CT 06360. The current status is active.

Basic Information

Licensee Name DANIEL W TRACY III
Credential ID 160421
Credential Number CSP.0019502
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 100 Fanning Ave
Norwich
CT 06360
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-05-08
Expiration Date 2021-02-28
Refresh Date 2019-05-09

Other licenses

ID Credential Code Credential Type Issue Term Status
702222 2.007736 Dentist 1990-08-16 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 100 FANNING AVE
City NORWICH
State CT
Zip Code 06360

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Licensee Name Office Address Credential Effective / Expiration
Louis B Goldblatt 100 Fanning Ave, Norwich, CT 06360 Controlled Substance Registration for Practitioner 2004-02-29 ~ 2005-02-28

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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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