MICHAEL O'HAGAN PA-C
Controlled Substance Registration for Practitioner


Address: 172 Upper Grand St, Highland, NY 12528-1047

MICHAEL O'HAGAN PA-C (Credential# 1003771) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 24, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

MICHAEL O'HAGAN PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050525. The credential type is controlled substance registration for practitioner. The effective date is June 24, 2011. The expiration date is February 28, 2013. The business address is 172 Upper Grand St, Highland, NY 12528-1047. The current status is inactive.

Basic Information

Licensee Name MICHAEL O'HAGAN PA-C
Credential ID 1003771
Credential Number CSP.0050525
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 172 Upper Grand St
Highland
NY 12528-1047
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-06-24
Effective Date 2011-06-24
Expiration Date 2013-02-28
Refresh Date 2014-07-24

Other licenses

ID Credential Code Credential Type Issue Term Status
990432 23.002580 Physician Assistant 2011-05-23 2011-05-23 - 2011-12-31 INACTIVE

Office Location

Street Address 172 UPPER GRAND ST
City HIGHLAND
State NY
Zip Code 12528-1047

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City HIGHLAND
Zip Code 12528
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HIGHLAND

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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