Richard S Kirschbaum Controlled Substance Registration for Practitioner
26 East Granby Road, Granby, CT 06035


Richard S Kirschbaum is licensed in the eLicensing system of Connecticut. The license credential ID is 145410. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 26 East Granby Road, Granby, CT 06035. The zip code is 06035.


Richard S Kirschbaum · 26 East Granby Road, Granby, CT 06035

Credential ID 145410
Name RICHARD S KIRSCHBAUM
Type INDIVIDUAL
Address 26 EAST GRANBY ROAD
GRANBY, CT 06035
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0008657
Credential Type CSP
Credential Number 8657
Status ACTIVE
Status Reason CURRENT
Active 1
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 01/26/201

RICHARD S KIRSCHBAUM · Connecticut Business

Richard S Kirschbaum · Dentist 26 East Granby Rd, Granby, CT 06035

Zip 06035 · Controlled Substance Registration for Practitioner · Connecticut Business

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