NEDSON J. CAMPBELL
Controlled Substance Registration for Practitioner


Address: 150 N. Main St., Manchester, CT 06042

NEDSON J. CAMPBELL (Credential# 997114) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is INACTIVE.

Business Overview

NEDSON J. CAMPBELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050105. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 150 N. Main St., Manchester, CT 06042. The current status is inactive.

Basic Information

Licensee Name NEDSON J. CAMPBELL
Credential ID 997114
Credential Number CSP.0050105
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 150 N. Main St.
Manchester
CT 06042
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Issue Date 2012-09-26
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-01-23

Other licenses

ID Credential Code Credential Type Issue Term Status
994149 1.050231 Physician/Surgeon 2011-08-12 2016-10-01 - 2017-09-30 INACTIVE

Office Location

Street Address 150 N. MAIN ST.
City MANCHESTER
State CT
Zip Code 06042

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Competitor

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City MANCHESTER
Zip Code 06042
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER

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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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