LIBOR PAVLOSEK MD
Controlled Substance Registration for Practitioner


Address: 18 Falmouth Dr, Shelton, CT 06484

LIBOR PAVLOSEK MD (Credential# 257740) 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

LIBOR PAVLOSEK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030385. 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 18 Falmouth Dr, Shelton, CT 06484. The current status is inactive.

Basic Information

Licensee Name LIBOR PAVLOSEK MD
Credential ID 257740
Credential Number CSP.0030385
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 18 Falmouth Dr
Shelton
CT 06484
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
556480 1.038892 Physician/Surgeon 2000-07-25 2000-07-25 - 2001-06-30 INACTIVE

Office Location

Street Address 18 FALMOUTH DR
City SHELTON
State CT
Zip Code 06484

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Competitor

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City SHELTON
Zip Code 06484
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHELTON

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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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