BENTON M O'NEAL JR
Controlled Substance Registration for Practitioner


Address: 322 Knapps Highway, Fairfield, CT 06430

BENTON M O'NEAL JR (Credential# 161846) 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

BENTON M O'NEAL JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023521. 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 322 Knapps Highway, Fairfield, CT 06430. The current status is inactive.

Basic Information

Licensee Name BENTON M O'NEAL JR
Credential ID 161846
Credential Number CSP.0023521
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 322 Knapps Highway
Fairfield
CT 06430
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Effective Date 1996-03-01
Expiration Date 1997-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
552282 1.034686 Physician/Surgeon 1995-07-14 1995-09-25 - 1996-09-30 INACTIVE

Office Location

Street Address 322 KNAPPS HIGHWAY
City FAIRFIELD
State CT
Zip Code 06430

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Competitor

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City FAIRFIELD
Zip Code 06430
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD

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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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