JOHN F KELLEHER MD
Controlled Substance Registration for Practitioner


Address: 24 Edinburgh Ln, Madison, CT 06443

JOHN F KELLEHER MD (Credential# 274971) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.

Business Overview

JOHN F KELLEHER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030694. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2003. The expiration date is February 28, 2004. The business address is 24 Edinburgh Ln, Madison, CT 06443. The current status is inactive.

Basic Information

Licensee Name JOHN F KELLEHER MD
Credential ID 274971
Credential Number CSP.0030694
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 24 Edinburgh Ln
Madison
CT 06443
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2003-03-01
Expiration Date 2004-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
556876 1.039290 Physician/Surgeon 2001-02-14 2002-04-08 - 2003-05-31 INACTIVE

Office Location

Street Address 24 EDINBURGH LN
City MADISON
State CT
Zip Code 06443

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Competitor

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City MADISON
Zip Code 06443
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MADISON

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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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