BERNIE C KIBBE OD
Controlled Substance Registration for Practitioner


Address: 99 Judds Bridge Rd, Roxbury, CT 06783-1012

BERNIE C KIBBE OD (Credential# 182394) 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

BERNIE C KIBBE OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025342. 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 99 Judds Bridge Rd, Roxbury, CT 06783-1012. The current status is inactive.

Basic Information

Licensee Name BERNIE C KIBBE OD
Credential ID 182394
Credential Number CSP.0025342
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 99 Judds Bridge Rd
Roxbury
CT 06783-1012
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2013-02-15

Other licenses

ID Credential Code Credential Type Issue Term Status
762968 3.002339 Optometrist 1993-08-11 2011-05-01 - 2012-04-30 INACTIVE

Office Location

Street Address 99 JUDDS BRIDGE RD
City ROXBURY
State CT
Zip Code 06783-1012

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Competitor

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City ROXBURY
Zip Code 06783
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ROXBURY

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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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