Moon S Lee Dds Controlled Substance Registration for Practitioner
2397 Black Rock Tpke, Fairfield, CT 06825


Moon S Lee Dds is licensed in the eLicensing system of Connecticut. The license credential ID is 158879. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 2397 Black Rock Tpke, Fairfield, CT 06825. The zip code is 06825.


Moon S Lee Dds · 2397 Black Rock Tpke, Fairfield, CT 06825

Credential ID 158879
Name MOON S LEE DDS
Type INDIVIDUAL
Address 2397 BLACK ROCK TPKE
FAIRFIELD, CT 06825
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0017097
Credential Type CSP
Credential Number 17097
Status ACTIVE
Status Reason CURRENT
Active 1
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 01/26/201

Zip 06825 · Controlled Substance Registration for Practitioner · Connecticut Business

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