Theresa F Keefe Dmd Controlled Substance Registration for Practitioner
191 Albany Turnpike, Canton, CT 06019


Theresa F Keefe Dmd is licensed in the eLicensing system of Connecticut. The license credential ID is 193152. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 191 Albany Turnpike, Canton, CT 06019. The zip code is 06019.


Theresa F Keefe Dmd · 191 Albany Turnpike, Canton, CT 06019

Credential ID 193152
Name THERESA F KEEFE DMD
Type INDIVIDUAL
Address 191 ALBANY TURNPIKE
CANTON, CT 06019
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0026778
Credential Type CSP
Credential Number 26778
Status ACTIVE
Status Reason CURRENT
Active 1
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 01/29/201

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