TIH-SHIH W LEE MD
Controlled Substance Registration for Practitioner


Address: 840 Prospect Street, Hamden, CT 06517

TIH-SHIH W LEE MD (Credential# 284088) 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

TIH-SHIH W LEE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031290. 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 840 Prospect Street, Hamden, CT 06517. The current status is active.

Basic Information

Licensee Name TIH-SHIH W LEE MD
Credential ID 284088
Credential Number CSP.0031290
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 840 Prospect Street
Hamden
CT 06517
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2001-08-14
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
556894 1.039308 Physician/Surgeon 2001-02-23 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 840 PROSPECT STREET
City HAMDEN
State CT
Zip Code 06517

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Keleann T Tamaki 165 Ridge Road, Hamden, CT 06517 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

Search similar business entities

City HAMDEN
Zip Code 06517
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN

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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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