BRIAN T FLETCHER MD
Controlled Substance Registration for Practitioner


Address: 497 3rd Ave Apt 9, New York, NY 10016-4854

BRIAN T FLETCHER MD (Credential# 511995) 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

BRIAN T FLETCHER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044460. 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 497 3rd Ave Apt 9, New York, NY 10016-4854. The current status is inactive.

Basic Information

Licensee Name BRIAN T FLETCHER MD
Credential ID 511995
Credential Number CSP.0044460
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 497 3rd Ave Apt 9
New York
NY 10016-4854
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-08-22
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
564075 1.046493 Physician/Surgeon 2008-05-08 2009-04-27 - 2010-05-31 INACTIVE

Office Location

Street Address 497 3RD AVE APT 9
City NEW YORK
State NY
Zip Code 10016-4854

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City NEW YORK
Zip Code 10016
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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