BRENDAN T CAMPBELL MD
Controlled Substance Registration for Practitioner


Address: 282 Washington St#2g Surgery, Hartford, CT 06106

BRENDAN T CAMPBELL MD (Credential# 435480) 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

BRENDAN T CAMPBELL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039040. 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 282 Washington St#2g Surgery, Hartford, CT 06106. The current status is active.

Basic Information

Licensee Name BRENDAN T CAMPBELL MD
Credential ID 435480
Credential Number CSP.0039040
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 282 Washington St#2g Surgery
Hartford
CT 06106
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2006-04-20
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
561738 1.044156 Physician/Surgeon 2006-03-15 2019-12-01 - 2020-11-30 ACTIVE
858279 70.890594 Emergency Medical Technician 1989-05-01 - 1995-06-30 INACTIVE

Office Location

Street Address 282 WASHINGTON ST#2G SURGERY
City HARTFORD
State CT
Zip Code 06106

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Competitor

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City HARTFORD
Zip Code 06106
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HARTFORD

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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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