JUSTIN M BELCHER
Controlled Substance Registration for Practitioner


Address: 102 Field Brook Rd, Madison, CT 06443-2469

JUSTIN M BELCHER (Credential# 999881) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

JUSTIN M BELCHER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050241. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 102 Field Brook Rd, Madison, CT 06443-2469. The current status is active.

Basic Information

Licensee Name JUSTIN M BELCHER
Credential ID 999881
Credential Number CSP.0050241
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 102 Field Brook Rd
Madison
CT 06443-2469
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-06-02
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-25

Other licenses

ID Credential Code Credential Type Issue Term Status
953237 1.049325 Physician/Surgeon 2010-11-03 2019-11-01 - 2020-10-31 ACTIVE
511282 CSP.0044260 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-09-12 2008-09-12 - 2009-02-28 INACTIVE

Office Location

Street Address 102 FIELD BROOK RD
City MADISON
State CT
Zip Code 06443-2469

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Competitor

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City MADISON
Zip Code 06443
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MADISON

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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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