CARMEN J BOOTH DVM
Controlled Substance Registration for Practitioner


Address: 175 Ridge Rd, Madison, CT 06443

CARMEN J BOOTH DVM (Credential# 390977) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

CARMEN J BOOTH DVM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036829. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 175 Ridge Rd, Madison, CT 06443. The current status is active.

Basic Information

Licensee Name CARMEN J BOOTH DVM
Credential ID 390977
Credential Number CSP.0036829
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 175 Ridge Rd
Madison
CT 06443
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-12-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
772737 47.003063 Veterinarian 2004-10-25 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 175 RIDGE RD
City MADISON
State CT
Zip Code 06443

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Competitor

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City MADISON
Zip Code 06443
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MADISON

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Andrew Yale Pa 32 Booth Hill Road, Trumbull, CT 06611 Controlled Substance Registration for Practitioner 1997-04-21 ~ 1998-02-28
Syed Zafar H Naqvi Md Booth House, New Milford, CT 06776 Controlled Substance Registration for Practitioner 1993-11-16 ~ 1995-10-01
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Carmen Monzon Md 297 Norwood Ave, Cranston, RI 02905-2711 Controlled Substance Registration for Practitioner 1999-03-01 ~ 2000-02-28
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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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