STEPHEN M SUMMERS MD
Controlled Substance Registration for Practitioner


Address: 415 Ocean Ave, New London, CT 06320

STEPHEN M SUMMERS MD (Credential# 405040) 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

STEPHEN M SUMMERS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037473. 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 415 Ocean Ave, New London, CT 06320. The current status is inactive.

Basic Information

Licensee Name STEPHEN M SUMMERS MD
Credential ID 405040
Credential Number CSP.0037473
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 415 Ocean Ave
New London
CT 06320
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-05-17
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
560966 1.043384 Physician/Surgeon 2005-05-02 2006-08-21 - 2007-10-31 INACTIVE

Office Location

Street Address 415 OCEAN AVE
City NEW LONDON
State CT
Zip Code 06320

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Competitor

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City NEW LONDON
Zip Code 06320
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW LONDON

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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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