EDWIN A LOMOTAN MD
Controlled Substance Registration for Practitioner


Address: 5 Devon Ct, Rockville, MD 20850

EDWIN A LOMOTAN MD (Credential# 365521) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

EDWIN A LOMOTAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034828. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 5 Devon Ct, Rockville, MD 20850. The current status is inactive.

Basic Information

Licensee Name EDWIN A LOMOTAN MD
Credential ID 365521
Credential Number CSP.0034828
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5 Devon Ct
Rockville
MD 20850
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-06-01
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
560026 1.042444 Physician/Surgeon 2004-05-14 2010-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 5 Devon Ct
City Rockville
State MD
Zip Code 20850

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Competitor

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City Rockville
Zip Code 20850
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Rockville

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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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