Steven M Brody Dds Controlled Substance Registration for Practitioner
23 Maple Ave, Greenwich, CT 06830


Steven M Brody Dds is licensed in the eLicensing system of Connecticut. The license credential ID is 152683. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 23 Maple Ave, Greenwich, CT 06830. The zip code is 06830.


Steven M Brody Dds · 23 Maple Ave, Greenwich, CT 06830

Credential ID 152683
Name STEVEN M BRODY DDS
Type INDIVIDUAL
Address 23 MAPLE AVE
GREENWICH, CT 06830
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0012370
Credential Type CSP
Credential Number 12370
Status ACTIVE
Status Reason CURRENT
Active 1
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 01/26/201

STEVEN M BRODY DDS · Connecticut Business

Steven M Brody Dds · Dental Anesthesia/conscious Sedation Permit 23 Maple Ave, Greenwich, CT 06830
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