LUKE O HANSEN MD
Controlled Substance Registration for Practitioner


Address: 40 Lyon Street, New Haven, CT 06511

LUKE O HANSEN MD (Credential# 486075) 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

LUKE O HANSEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042770. 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 40 Lyon Street, New Haven, CT 06511. The current status is inactive.

Basic Information

Licensee Name LUKE O HANSEN MD
Credential ID 486075
Credential Number CSP.0042770
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 40 Lyon Street
New Haven
CT 06511
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
563483 1.045901 Physician/Surgeon 2007-10-03 2008-10-03 - 2009-10-31 INACTIVE

Office Location

Street Address 40 LYON STREET
City NEW HAVEN
State CT
Zip Code 06511

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Competitor

Search similar business entities

City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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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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