JOHN B LEVINE MD
Controlled Substance Registration for Practitioner


Address: 55 Blossom St Rm 405, Boston, MA 02114-2602

JOHN B LEVINE MD (Credential# 497261) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

JOHN B LEVINE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043230. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 55 Blossom St Rm 405, Boston, MA 02114-2602. The current status is inactive.

Basic Information

Licensee Name JOHN B LEVINE MD
Credential ID 497261
Credential Number CSP.0043230
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 55 Blossom St Rm 405
Boston
MA 02114-2602
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-04-11
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
563944 1.046362 Physician/Surgeon 2008-04-03 2011-10-01 - 2012-09-30 INACTIVE

Office Location

Street Address 55 BLOSSOM ST RM 405
City BOSTON
State MA
Zip Code 02114-2602

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Competitor

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City BOSTON
Zip Code 02114
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BOSTON

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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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