LISAN S PENG
Controlled Substance Registration for Practitioner


Address: 333 Kenwood Ave, Hamden, CT 06518

LISAN S PENG (Credential# 380689) 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

LISAN S PENG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036083. 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 333 Kenwood Ave, Hamden, CT 06518. The current status is inactive.

Basic Information

Licensee Name LISAN S PENG
Credential ID 380689
Credential Number CSP.0036083
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 333 Kenwood Ave
Hamden
CT 06518
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-10-08
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Office Location

Street Address 333 KENWOOD AVE
City HAMDEN
State CT
Zip Code 06518

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Competitor

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City HAMDEN
Zip Code 06518
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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