EVANGELINE O ABRIAM
Controlled Substance Registration for Practitioner


Address: 145 Strawberry Hill, Stamford, CT 06902

EVANGELINE O ABRIAM (Credential# 162665) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 8, 1994. The license expiration date date is June 1, 1995. The license status is INACTIVE.

Business Overview

EVANGELINE O ABRIAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021851. The credential type is controlled substance registration for practitioner. The effective date is February 8, 1994. The expiration date is June 1, 1995. The business address is 145 Strawberry Hill, Stamford, CT 06902. The current status is inactive.

Basic Information

Licensee Name EVANGELINE O ABRIAM
Credential ID 162665
Credential Number CSP.0021851
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 145 Strawberry Hill
Stamford
CT 06902
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-02-08
Expiration Date 1995-06-01
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
551086 1.033487 Physician/Surgeon 1994-01-28 1994-01-31 - 1995-01-31 INACTIVE

Office Location

Street Address 145 STRAWBERRY HILL
City STAMFORD
State CT
Zip Code 06902

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Competitor

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City STAMFORD
Zip Code 06902
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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