SHANE C WHEELER MD
Controlled Substance Registration for Practitioner


Address: 267 Melba St A-35, Milford, CT 06460

SHANE C WHEELER MD (Credential# 385402) 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

SHANE C WHEELER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036550. 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 267 Melba St A-35, Milford, CT 06460. The current status is inactive.

Basic Information

Licensee Name SHANE C WHEELER MD
Credential ID 385402
Credential Number CSP.0036550
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 267 Melba St A-35
Milford
CT 06460
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-10-25
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Office Location

Street Address 267 MELBA ST A-35
City MILFORD
State CT
Zip Code 06460

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Competitor

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City MILFORD
Zip Code 06460
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MILFORD

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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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