LAURA J GILLIS MD
Controlled Substance Registration for Practitioner


Address: 13 Courtland St, Manchester, CT 06040

LAURA J GILLIS MD (Credential# 441875) 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

LAURA J GILLIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039380. 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 13 Courtland St, Manchester, CT 06040. The current status is inactive.

Basic Information

Licensee Name LAURA J GILLIS MD
Credential ID 441875
Credential Number CSP.0039380
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 13 Courtland St
Manchester
CT 06040
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-06-23
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Office Location

Street Address 13 COURTLAND ST
City MANCHESTER
State CT
Zip Code 06040

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Competitor

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City MANCHESTER
Zip Code 06040
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER

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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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