PETER SOUKAS MD
Controlled Substance Registration for Practitioner


Address: Miriam Cardiology, Inc., Providence, RI 01760

PETER SOUKAS MD (Credential# 178053) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

PETER SOUKAS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024742. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is Miriam Cardiology, Inc., Providence, RI 01760. The current status is inactive.

Basic Information

Licensee Name PETER SOUKAS MD
Credential ID 178053
Credential Number CSP.0024742
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Miriam Cardiology, Inc.
Providence
RI 01760
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Office Location

Street Address Miriam Cardiology, Inc.
City Providence
State RI
Zip Code 01760

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Competitor

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City Providence
Zip Code 01760
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Providence

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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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