EDWARD A FRASER II
Controlled Substance Registration for Practitioner


Address: 61 Bayshore Drive, New London, CT 06320

EDWARD A FRASER II (Credential# 323031) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

EDWARD A FRASER II is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032792. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 61 Bayshore Drive, New London, CT 06320. The current status is inactive.

Basic Information

Licensee Name EDWARD A FRASER II
Credential ID 323031
Credential Number CSP.0032792
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 61 Bayshore Drive
New London
CT 06320
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
742140 23.000391 Physician Assistant 1993-11-19 2015-07-01 - 2016-06-30 INACTIVE

Office Location

Street Address 61 BAYSHORE DRIVE
City NEW LONDON
State CT
Zip Code 06320

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Competitor

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City NEW LONDON
Zip Code 06320
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW LONDON

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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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