DIANA GILLIGAN MD
Controlled Substance Registration for Practitioner


Address: 9 Selden Ave, Branford, CT 06405

DIANA GILLIGAN MD (Credential# 161536) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.

Business Overview

DIANA GILLIGAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022510. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2000. The expiration date is February 28, 2001. The business address is 9 Selden Ave, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name DIANA GILLIGAN MD
Credential ID 161536
Credential Number CSP.0022510
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 9 Selden Ave
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2000-02-29
Expiration Date 2001-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
551531 1.033932 Physician/Surgeon 1994-07-29 1999-12-08 - 2001-01-31 INACTIVE

Office Location

Street Address 9 SELDEN AVE
City BRANFORD
State CT
Zip Code 06405

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Competitor

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City BRANFORD
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD

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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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