David Jm Whitehouse Md Controlled Substance Registration for Practitioner
111 Euclid Ave, Waterbury, CT 06710


David Jm Whitehouse Md is licensed in the eLicensing system of Connecticut. The license credential ID is 394601. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 111 Euclid Ave, Waterbury, CT 06710. The zip code is 06710.


David Jm Whitehouse Md · 111 Euclid Ave, Waterbury, CT 06710

Credential ID 394601
Name David JM WHITEHOUSE MD
Type INDIVIDUAL
Address 111 EUCLID AVE
WATERBURY, CT 06710
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0036970
Credential Type CSP
Credential Number 36970
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 02/07/2005
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 02/13/201

David JM WHITEHOUSE MD · Connecticut Business

David Jm Whitehouse Md · Physician/surgeon 111 Euclid Ave, Waterbury, CT 06710

Zip 06710 · Controlled Substance Registration for Practitioner · Connecticut Business

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Zip 06710 · Connecticut Business

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