MARY ANN C LIM MD
Controlled Substance Registration for Practitioner


Address: 1-12 King Arthur Way, Newington, CT 06111

MARY ANN C LIM MD (Credential# 445680) 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

MARY ANN C LIM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039634. 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 1-12 King Arthur Way, Newington, CT 06111. The current status is inactive.

Basic Information

Licensee Name MARY ANN C LIM MD
Credential ID 445680
Credential Number CSP.0039634
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1-12 King Arthur Way
Newington
CT 06111
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-08-04
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
562035 1.044453 Physician/Surgeon 2006-06-06 2006-09-26 - 2007-10-31 INACTIVE
446569 CSP.0040017 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-10-03 2006-10-03 - 2007-02-28 INACTIVE

Office Location

Street Address 1-12 KING ARTHUR WAY
City NEWINGTON
State CT
Zip Code 06111

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Competitor

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City NEWINGTON
Zip Code 06111
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWINGTON

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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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