ALAN A KATZ
Controlled Substance Registration for Practitioner


Address: 276 Lockwood Rd, Fairfield, CT 06432

ALAN A KATZ (Credential# 163603) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 11, 1994. The license expiration date date is December 1, 1995. The license status is INACTIVE.

Business Overview

ALAN A KATZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022090. The credential type is controlled substance registration for practitioner. The effective date is May 11, 1994. The expiration date is December 1, 1995. The business address is 276 Lockwood Rd, Fairfield, CT 06432. The current status is inactive.

Basic Information

Licensee Name ALAN A KATZ
Credential ID 163603
Credential Number CSP.0022090
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 276 Lockwood Rd
Fairfield
CT 06432
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-05-11
Expiration Date 1995-12-01
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
551228 1.033629 Physician/Surgeon 1994-03-31 1994-07-27 - 1995-09-30 INACTIVE

Office Location

Street Address 276 LOCKWOOD RD
City FAIRFIELD
State CT
Zip Code 06432

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Competitor

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City FAIRFIELD
Zip Code 06432
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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