DIANE D TIMMS DO
Controlled Substance Registration for Practitioner


Address: 216 Wilderness Way, Bristol, CT 06010

DIANE D TIMMS DO (Credential# 503819) 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

DIANE D TIMMS DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043562. 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 216 Wilderness Way, Bristol, CT 06010. The current status is inactive.

Basic Information

Licensee Name DIANE D TIMMS DO
Credential ID 503819
Credential Number CSP.0043562
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 216 Wilderness Way
Bristol
CT 06010
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-05-28
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
564012 1.046430-DO Physician/Surgeon 2008-04-18 2010-01-01 - 2010-12-31 INACTIVE

Office Location

Street Address 216 WILDERNESS WAY
City BRISTOL
State CT
Zip Code 06010

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Competitor

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City BRISTOL
Zip Code 06010
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL

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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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