RICHARD P BRUNSWICK MD
Controlled Substance Registration for Practitioner


Address: 74 Maynard Road, Northampton, MA 01060

RICHARD P BRUNSWICK MD (Credential# 222922) 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

RICHARD P BRUNSWICK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028797. 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 74 Maynard Road, Northampton, MA 01060. The current status is inactive.

Basic Information

Licensee Name RICHARD P BRUNSWICK MD
Credential ID 222922
Credential Number CSP.0028797
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 74 Maynard Road
Northampton
MA 01060
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
555692 1.038102 Physician/Surgeon 1999-08-26 2000-07-17 - 2001-07-31 INACTIVE

Office Location

Street Address 74 MAYNARD ROAD
City NORTHAMPTON
State MA
Zip Code 01060

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Competitor

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City NORTHAMPTON
Zip Code 01060
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTHAMPTON

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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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