CLAUDIA PHILLIPS LNM
Controlled Substance Registration for Practitioner


Address: 625 Clinton Avenue, Bridgeport, CT 06811

CLAUDIA PHILLIPS LNM (Credential# 162630) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 29, 1994. The license expiration date date is December 1, 1996. The license status is INACTIVE.

Business Overview

CLAUDIA PHILLIPS LNM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020985. The credential type is controlled substance registration for practitioner. The effective date is November 29, 1994. The expiration date is December 1, 1996. The business address is 625 Clinton Avenue, Bridgeport, CT 06811. The current status is inactive.

Basic Information

Licensee Name CLAUDIA PHILLIPS LNM
Credential ID 162630
Credential Number CSP.0020985
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 625 Clinton Avenue
Bridgeport
CT 06811
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-11-29
Expiration Date 1996-12-01
Refresh Date 2009-01-26

Office Location

Street Address 625 CLINTON AVENUE
City BRIDGEPORT
State CT
Zip Code 06811

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Competitor

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City BRIDGEPORT
Zip Code 06811
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT

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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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