MICAL S CAMPBELL
Controlled Substance Registration for Practitioner


Address: 234-a Bank Street, New London, CT 06320

MICAL S CAMPBELL (Credential# 451849) 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

MICAL S CAMPBELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040709. 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 234-a Bank Street, New London, CT 06320. The current status is active.

Basic Information

Licensee Name MICAL S CAMPBELL
Credential ID 451849
Credential Number CSP.0040709
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 234-a Bank Street
New London
CT 06320
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2006-11-17
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-03

Other licenses

ID Credential Code Credential Type Issue Term Status
562485 1.044903 Physician/Surgeon 2006-11-09 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 234-A BANK STREET
City NEW LONDON
State CT
Zip Code 06320

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Competitor

Search similar business entities

City NEW LONDON
Zip Code 06320
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW LONDON

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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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