LISA ANN WHITTY MD
Controlled Substance Registration for Practitioner


Address: 46 Republic Drive, Bloomfield, CT 06002

LISA ANN WHITTY MD (Credential# 407262) 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

LISA ANN WHITTY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037621. 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 46 Republic Drive, Bloomfield, CT 06002. The current status is inactive.

Basic Information

Licensee Name LISA ANN WHITTY MD
Credential ID 407262
Credential Number CSP.0037621
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 46 Republic Drive
Bloomfield
CT 06002
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-06-13
Effective Date 2006-03-01
Expiration Date 2007-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
560735 1.043153 Physician/Surgeon 2005-03-04 2005-08-09 - 2006-08-31 INACTIVE

Office Location

Street Address 46 REPUBLIC DRIVE
City BLOOMFIELD
State CT
Zip Code 06002

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Competitor

Search similar business entities

City BLOOMFIELD
Zip Code 06002
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD

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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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