JULIE L CAMPBELL MD
Controlled Substance Registration for Practitioner


Address: 3671 Hudson Manor Terr 18g, Bronx, NY 10463

JULIE L CAMPBELL MD (Credential# 473123) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

JULIE L CAMPBELL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041588. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 3671 Hudson Manor Terr 18g, Bronx, NY 10463. The current status is inactive.

Basic Information

Licensee Name JULIE L CAMPBELL MD
Credential ID 473123
Credential Number CSP.0041588
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3671 Hudson Manor Terr 18g
Bronx
NY 10463
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-06-08
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
562944 1.045362 Physician/Surgeon 2007-05-07 2010-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 3671 HUDSON MANOR TERR 18G
City BRONX
State NY
Zip Code 10463

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City BRONX
Zip Code 10463
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRONX

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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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