PHUONG Q TIEN
Controlled Substance Registration for Practitioner


Address: 65 Prospect St Apt T-5, Stamford, CT 06901

PHUONG Q TIEN (Credential# 480398) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 30, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

PHUONG Q TIEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042483. The credential type is controlled substance registration for practitioner. The effective date is August 30, 2007. The expiration date is February 29, 2008. The business address is 65 Prospect St Apt T-5, Stamford, CT 06901. The current status is inactive.

Basic Information

Licensee Name PHUONG Q TIEN
Credential ID 480398
Credential Number CSP.0042483
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 65 Prospect St Apt T-5
Stamford
CT 06901
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-08-30
Effective Date 2007-08-30
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Office Location

Street Address 65 PROSPECT ST APT T-5
City STAMFORD
State CT
Zip Code 06901

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Competitor

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City STAMFORD
Zip Code 06901
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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