CARL R BAUM MD
Controlled Substance Registration for Practitioner


Address: 156 Peck Hill Rd, Woodbridge, CT 06525

CARL R BAUM MD (Credential# 232558) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

CARL R BAUM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029310. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 156 Peck Hill Rd, Woodbridge, CT 06525. The current status is active.

Basic Information

Licensee Name CARL R BAUM MD
Credential ID 232558
Credential Number CSP.0029310
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 156 Peck Hill Rd
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2000-06-02
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
556272 1.038684 Physician/Surgeon 2000-05-30 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 156 PECK HILL RD
City WOODBRIDGE
State CT
Zip Code 06525

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Patricia A Kenyon · Leskow 8 Maple Terrace, Woodbridge, CT 06525 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

Search similar business entities

City WOODBRIDGE
Zip Code 06525
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBRIDGE

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S James Baum Md 1791 Fairfield Beach Rd, Fairfield, CT 06430 Controlled Substance Registration for Practitioner 1997-03-01 ~ 1998-02-28
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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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