PETER R LATER DO
Controlled Substance Registration for Practitioner


Address: 64 Windward Way, Waterford, CT 06385

PETER R LATER DO (Credential# 484381) 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

PETER R LATER DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042691. 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 64 Windward Way, Waterford, CT 06385. The current status is inactive.

Basic Information

Licensee Name PETER R LATER DO
Credential ID 484381
Credential Number CSP.0042691
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 64 Windward Way
Waterford
CT 06385
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-10-25
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
563521 1.045939-DO Physician/Surgeon 2007-10-22 2010-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 64 Windward Way
City Waterford
State CT
Zip Code 06385

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Ahmad Majzoub 64 Windward Way, Waterford, CT 06385-3216 Emergency Medical Technician 2016-10-28 ~ 2019-06-30

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Competitor

Search similar business entities

City Waterford
Zip Code 06385
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Waterford

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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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