CHRISTIAN THEODOSIS
Controlled Substance Registration for Practitioner


Address: 78 Olive St#422, New Haven, CT 06511

CHRISTIAN THEODOSIS (Credential# 387131) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 25, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

CHRISTIAN THEODOSIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036612. The credential type is controlled substance registration for practitioner. The effective date is October 25, 2004. The expiration date is February 28, 2005. The business address is 78 Olive St#422, New Haven, CT 06511. The current status is inactive.

Basic Information

Licensee Name CHRISTIAN THEODOSIS
Credential ID 387131
Credential Number CSP.0036612
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 78 Olive St#422
New Haven
CT 06511
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-10-25
Effective Date 2004-10-25
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Office Location

Street Address 78 OLIVE ST#422
City NEW HAVEN
State CT
Zip Code 06511

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Competitor

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City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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