CHARLES C MBONU MD
Controlled Substance Registration for Practitioner


Address: 149 School St, Hamden, CT 06518

CHARLES C MBONU MD (Credential# 334919) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

CHARLES C MBONU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033341. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 149 School St, Hamden, CT 06518. The current status is inactive.

Basic Information

Licensee Name CHARLES C MBONU MD
Credential ID 334919
Credential Number CSP.0033341
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 149 School St
Hamden
CT 06518
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2004-02-29
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
558751 1.041168 Physician/Surgeon 2003-03-03 2003-12-04 - 2004-11-30 INACTIVE

Office Location

Street Address 149 SCHOOL ST
City HAMDEN
State CT
Zip Code 06518

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Competitor

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City HAMDEN
Zip Code 06518
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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