TANYA PAUL MD
Controlled Substance Registration for Practitioner


Address: 625 Clinton Ave, Bridgeport, CT 06605

TANYA PAUL MD (Credential# 237833) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 11, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.

Business Overview

TANYA PAUL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029722. The credential type is controlled substance registration for practitioner. The effective date is July 11, 2000. The expiration date is February 28, 2001. The business address is 625 Clinton Ave, Bridgeport, CT 06605. The current status is inactive.

Basic Information

Licensee Name TANYA PAUL MD
Credential ID 237833
Credential Number CSP.0029722
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 625 Clinton Ave
Bridgeport
CT 06605
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2000-07-11
Expiration Date 2001-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
556422 1.038834 Physician/Surgeon 2000-07-03 2000-07-03 - 2000-12-31 INACTIVE

Office Location

Street Address 625 CLINTON AVE
City BRIDGEPORT
State CT
Zip Code 06605

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Competitor

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City BRIDGEPORT
Zip Code 06605
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT

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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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