WILLIAM J HEINO JR DO
Controlled Substance Registration for Practitioner


Address: Po Box 3118 Suite 1b, Middletown, NY 10940

WILLIAM J HEINO JR DO (Credential# 534098) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

WILLIAM J HEINO JR DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045597. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is Po Box 3118 Suite 1b, Middletown, NY 10940. The current status is inactive.

Basic Information

Licensee Name WILLIAM J HEINO JR DO
Credential ID 534098
Credential Number CSP.0045597
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Po Box 3118 Suite 1b
Middletown
NY 10940
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-06-11
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
564784 1.047202-DO Physician/Surgeon 2008-12-01 2013-01-01 - 2013-12-31 INACTIVE

Office Location

Street Address PO Box 3118 Suite 1B
City Middletown
State NY
Zip Code 10940

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Competitor

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City Middletown
Zip Code 10940
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Middletown

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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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