JOSEPH R WAX MD
Controlled Substance Registration for Practitioner


Address: 11 Sudbury Way, Avon, CT 06001

JOSEPH R WAX MD (Credential# 47969) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.

Business Overview

JOSEPH R WAX MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025093. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2000. The expiration date is February 28, 2001. The business address is 11 Sudbury Way, Avon, CT 06001. The current status is inactive.

Basic Information

Licensee Name JOSEPH R WAX MD
Credential ID 47969
Credential Number CSP.0025093
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 11 Sudbury Way
Avon
CT 06001
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2000-02-29
Expiration Date 2001-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
553335 1.035742 Physician/Surgeon 1996-12-13 1999-08-31 - 2000-10-31 INACTIVE

Office Location

Street Address 11 SUDBURY WAY
City AVON
State CT
Zip Code 06001

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Competitor

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City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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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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