DAVID R POLONET MD
Controlled Substance Registration for Practitioner


Address: 80 March Dr, Easton, CT 06612

DAVID R POLONET MD (Credential# 345128) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.

Business Overview

DAVID R POLONET MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033788. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 80 March Dr, Easton, CT 06612. The current status is inactive.

Basic Information

Licensee Name DAVID R POLONET MD
Credential ID 345128
Credential Number CSP.0033788
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 80 March Dr
Easton
CT 06612
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-06-02
Effective Date 2005-03-01
Expiration Date 2006-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
559211 1.041628 Physician/Surgeon 2003-07-02 2004-12-06 - 2005-12-31 INACTIVE

Office Location

Street Address 80 MARCH DR
City EASTON
State CT
Zip Code 06612

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Competitor

Search similar business entities

City EASTON
Zip Code 06612
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EASTON

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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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