JUDY L BOSLOW MD
Controlled Substance Registration for Practitioner


Address: 1305 Post Rd Ste 103, Fairfield, CT 06824-6016

JUDY L BOSLOW MD (Credential# 185737) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

JUDY L BOSLOW MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025675. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 1305 Post Rd Ste 103, Fairfield, CT 06824-6016. The current status is inactive.

Basic Information

Licensee Name JUDY L BOSLOW MD
Credential ID 185737
Credential Number CSP.0025675
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1305 Post Rd Ste 103
Fairfield
CT 06824-6016
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
553650 1.036058 Physician/Surgeon 1997-05-30 2013-02-01 - 2014-01-31 INACTIVE

Office Location

Street Address 1305 POST RD STE 103
City FAIRFIELD
State CT
Zip Code 06824-6016

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Virginia Cody 1305 Post Rd Ste 102, Fairfield, CT 06824-6016 Physician/surgeon 2020-03-01 ~ 2021-02-28
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Richard A Levin 1305 Post Rd Ste 302, Fairfield, CT 06824-6016 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
George M Goldfarb 1305 Post Rd Ste 102, Fairfield, CT 06824-6016 Controlled Substance Registration for Practitioner 2019-04-01 ~ 2021-02-28
Edward M Staub 1305 Post Rd, Fairfield, CT 06824-6016 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Ari T Pollack 1305 Post Rd, Fairfield, CT 06824-6016 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Michael P Brennan 338 Sturges Rd, Fairfield, CT 06824 Real Estate Salesperson 2020-06-23 ~ 2021-05-31
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Competitor

Search similar business entities

City FAIRFIELD
Zip Code 06824
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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