CHRISTINA R BRUS MD
Controlled Substance Registration for Practitioner


Address: 344 S 15th St Apt 3, Philadelphia, PA 19102-4902

CHRISTINA R BRUS MD (Credential# 511164) 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

CHRISTINA R BRUS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044230. 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 344 S 15th St Apt 3, Philadelphia, PA 19102-4902. The current status is inactive.

Basic Information

Licensee Name CHRISTINA R BRUS MD
Credential ID 511164
Credential Number CSP.0044230
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 344 S 15th St Apt 3
Philadelphia
PA 19102-4902
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-09-05
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
564059 1.046477 Physician/Surgeon 2008-05-05 2011-06-01 - 2012-05-31 INACTIVE

Office Location

Street Address 344 S 15TH ST APT 3
City PHILADELPHIA
State PA
Zip Code 19102-4902

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City PHILADELPHIA
Zip Code 19102
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PHILADELPHIA

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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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