PATRICK T CAMPBELL
Controlled Substance Registration for Practitioner


Address: 594 Farmington Ave, Hartford, CT 06105

PATRICK T CAMPBELL (Credential# 446427) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

PATRICK T CAMPBELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039965. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 594 Farmington Ave, Hartford, CT 06105. The current status is inactive.

Basic Information

Licensee Name PATRICK T CAMPBELL
Credential ID 446427
Credential Number CSP.0039965
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 594 Farmington Ave
Hartford
CT 06105
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-09-18
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
564383 1.046801 Physician/Surgeon 2008-07-21 2011-02-01 - 2012-01-31 INACTIVE

Office Location

Street Address 594 Farmington ave
City Hartford
State CT
Zip Code 06105

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Competitor

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City Hartford
Zip Code 06105
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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