CHAU H M NGUYEN DO
Controlled Substance Registration for Practitioner


Address: 41 Middletown Avenue, Wethersfield, CT 06109

CHAU H M NGUYEN DO (Credential# 506710) 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

CHAU H M NGUYEN DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043714. 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 41 Middletown Avenue, Wethersfield, CT 06109. The current status is inactive.

Basic Information

Licensee Name CHAU H M NGUYEN DO
Credential ID 506710
Credential Number CSP.0043714
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 41 Middletown Avenue
Wethersfield
CT 06109
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-07-24
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
564381 1.046799-DO Physician/Surgeon 2008-07-21 2012-01-01 - 2012-12-31 INACTIVE

Office Location

Street Address 41 MIDDLETOWN AVENUE
City WETHERSFIELD
State CT
Zip Code 06109

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Competitor

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City WETHERSFIELD
Zip Code 06109
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WETHERSFIELD

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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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