ALBERT R ANDERSON III
Controlled Substance Registration for Practitioner


Address: 25 Savi Avenue, Waterford, CT 06385

ALBERT R ANDERSON III (Credential# 161391) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

ALBERT R ANDERSON III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023411. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1996. The expiration date is February 28, 1997. The business address is 25 Savi Avenue, Waterford, CT 06385. The current status is inactive.

Basic Information

Licensee Name ALBERT R ANDERSON III
Credential ID 161391
Credential Number CSP.0023411
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 25 Savi Avenue
Waterford
CT 06385
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1996-03-01
Expiration Date 1997-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
552177 1.034581 Physician/Surgeon 1995-06-23 1995-08-08 - 1996-08-31 INACTIVE

Office Location

Street Address 25 SAVI AVENUE
City WATERFORD
State CT
Zip Code 06385

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Competitor

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City WATERFORD
Zip Code 06385
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERFORD

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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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