RAY H VAN WYNGARDEN
Controlled Substance Registration for Practitioner


Address: 217 Birch Run Rd, Chestertown, MD 21620

RAY H VAN WYNGARDEN (Credential# 318499) 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

RAY H VAN WYNGARDEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032612. 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 217 Birch Run Rd, Chestertown, MD 21620. The current status is inactive.

Basic Information

Licensee Name RAY H VAN WYNGARDEN
Credential ID 318499
Credential Number CSP.0032612
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 217 Birch Run Rd
Chestertown
MD 21620
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
558309 1.040726-DO Physician/Surgeon 2002-08-01 2002-08-01 - 2003-03-31 INACTIVE

Office Location

Street Address 217 BIRCH RUN RD
City CHESTERTOWN
State MD
Zip Code 21620

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Competitor

Search similar business entities

City CHESTERTOWN
Zip Code 21620
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESTERTOWN

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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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