SCOTT FOWLER MD
Controlled Substance Registration for Practitioner


Address: 153 Belltown Rd, Stamford, CT 06905-3312

SCOTT FOWLER MD (Credential# 415233) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

SCOTT FOWLER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038258. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 153 Belltown Rd, Stamford, CT 06905-3312. The current status is inactive.

Basic Information

Licensee Name SCOTT FOWLER MD
Credential ID 415233
Credential Number CSP.0038258
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 153 Belltown Rd
Stamford
CT 06905-3312
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-10-04
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
564877 1.047295 Physician/Surgeon 2009-01-12 2009-01-12 - 2009-06-30 INACTIVE

Office Location

Street Address 153 BELLTOWN RD
City STAMFORD
State CT
Zip Code 06905-3312

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Elizabeth M Perelstein 141 Belltown Rd, Stamford, CT 06905-3312 Emergency Medical Technician 2010-06-21 ~ 2013-07-01

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Competitor

Search similar business entities

City STAMFORD
Zip Code 06905
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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