ROBERT J CONRAD MD
Controlled Substance Registration for Practitioner


Address: Po Box 747, Koloa, HI 96756

ROBERT J CONRAD MD (Credential# 199209) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.

Business Overview

ROBERT J CONRAD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027033. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2001. The expiration date is February 28, 2002. The business address is Po Box 747, Koloa, HI 96756. The current status is inactive.

Basic Information

Licensee Name ROBERT J CONRAD MD
Credential ID 199209
Credential Number CSP.0027033
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Po Box 747
Koloa
HI 96756
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2001-03-01
Expiration Date 2002-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
554458 1.036867 Physician/Surgeon 1998-05-15 2000-07-21 - 2001-09-30 INACTIVE

Office Location

Street Address PO BOX 747
City KOLOA
State HI
Zip Code 96756

Competitor

Search similar business entities

City KOLOA
Zip Code 96756
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KOLOA

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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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