MATTHEW H ANDERSEN
Controlled Substance Registration for Practitioner


Address: 88 Obtuse Rd S, Brookfield, CT 06804-3131

MATTHEW H ANDERSEN (Credential# 891672) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 10, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

MATTHEW H ANDERSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046273. The credential type is controlled substance registration for practitioner. The effective date is September 10, 2009. The expiration date is February 28, 2011. The business address is 88 Obtuse Rd S, Brookfield, CT 06804-3131. The current status is inactive.

Basic Information

Licensee Name MATTHEW H ANDERSEN
Credential ID 891672
Credential Number CSP.0046273
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 88 Obtuse Rd S
Brookfield
CT 06804-3131
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-09-10
Effective Date 2009-09-10
Expiration Date 2011-02-28
Refresh Date 2015-01-15

Office Location

Street Address 88 Obtuse Rd S
City BROOKFIELD
State CT
Zip Code 06804-3131

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Competitor

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City BROOKFIELD
Zip Code 06804
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKFIELD

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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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