PHILIP D SCHUB OD
Controlled Substance Registration for Practitioner


Address: 17 Bagy Wrinkle Cove, Warren, CT 02885

PHILIP D SCHUB OD (Credential# 179594) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.

Business Overview

PHILIP D SCHUB OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025355. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2003. The expiration date is February 28, 2004. The business address is 17 Bagy Wrinkle Cove, Warren, CT 02885. The current status is inactive.

Basic Information

Licensee Name PHILIP D SCHUB OD
Credential ID 179594
Credential Number CSP.0025355
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 17 Bagy Wrinkle Cove
Warren
CT 02885
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2003-03-01
Expiration Date 2004-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
762461 3.000699 Optometrist 1968-11-29 2002-07-03 - 2003-08-31 INACTIVE

Office Location

Street Address 17 BAGY WRINKLE COVE
City WARREN
State CT
Zip Code 02885

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Competitor

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City WARREN
Zip Code 02885
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WARREN

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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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