K GARY VANASSE MD
Controlled Substance Registration for Practitioner


Address: 52 Churchill Rd, Hamden, CT 06517

K GARY VANASSE MD (Credential# 347944) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

K GARY VANASSE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033980. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 52 Churchill Rd, Hamden, CT 06517. The current status is inactive.

Basic Information

Licensee Name K GARY VANASSE MD
Credential ID 347944
Credential Number CSP.0033980
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 52 Churchill Rd
Hamden
CT 06517
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-03-01
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
559511 1.041928 Physician/Surgeon 2003-10-16 2006-04-14 - 2007-03-31 INACTIVE

Office Location

Street Address 52 CHURCHILL RD
City HAMDEN
State CT
Zip Code 06517

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Patricia R Peter 52 Churchill Rd, Hamden, CT 06517-1414 Physician/surgeon 2020-08-01 ~ 2021-07-31
Henry S Park 52 Churchill Rd, Hamden, CT 06517-1414 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
J Drake Turrentine 52 Churchill Rd, Hamden, CT 06514 Notary Public Appointment 1986-10-01 ~ 1991-03-31

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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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