LORNA P CHARLES MD
Controlled Substance Registration for Practitioner


Address: 36 Seabury Ave, Ledyard, CT 06339

LORNA P CHARLES MD (Credential# 363994) 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

LORNA P CHARLES MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034610. 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 36 Seabury Ave, Ledyard, CT 06339. The current status is inactive.

Basic Information

Licensee Name LORNA P CHARLES MD
Credential ID 363994
Credential Number CSP.0034610
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 36 Seabury Ave
Ledyard
CT 06339
Business Type INDIVIDUAL
Status INACTIVE
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
556768 1.039180 Physician/Surgeon 2000-12-14 2004-08-25 - 2005-10-31 INACTIVE

Office Location

Street Address 36 SEABURY AVE
City LEDYARD
State CT
Zip Code 06339

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Competitor

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City LEDYARD
Zip Code 06339
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LEDYARD

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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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