WILLIAM M ALLEN MD
Controlled Substance Registration for Practitioner


Address: Middlesex Hosptial-emergency Dept, Middletown, CT 06457

WILLIAM M ALLEN MD (Credential# 161359) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is INACTIVE.

Business Overview

WILLIAM M ALLEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023399. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is Middlesex Hosptial-emergency Dept, Middletown, CT 06457. The current status is inactive.

Basic Information

Licensee Name WILLIAM M ALLEN MD
Credential ID 161359
Credential Number CSP.0023399
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Middlesex Hosptial-emergency Dept
Middletown
CT 06457
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Issue Date 1999-03-26
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-01-24

Other licenses

ID Credential Code Credential Type Issue Term Status
552257 1.034661 Physician/Surgeon 1995-07-07 2017-08-01 - 2018-07-31 INACTIVE

Office Location

Street Address MIDDLESEX HOSPTIAL-EMERGENCY DEPT
City MIDDLETOWN
State CT
Zip Code 06457

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN

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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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