DARREN L LISH MD
Controlled Substance Registration for Practitioner


Address: 125 Hepburn Rd, Hamden, CT 06517

DARREN L LISH MD (Credential# 345977) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

DARREN L LISH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033857. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 125 Hepburn Rd, Hamden, CT 06517. The current status is inactive.

Basic Information

Licensee Name DARREN L LISH MD
Credential ID 345977
Credential Number CSP.0033857
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 125 Hepburn Rd
Hamden
CT 06517
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
559192 1.041609 Physician/Surgeon 2003-07-01 2005-10-06 - 2006-11-30 INACTIVE

Office Location

Street Address 125 HEPBURN RD
City HAMDEN
State CT
Zip Code 06517

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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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