DAVID N KLEIN MD (Credential# 1025153) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 19, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
DAVID N KLEIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051011. The credential type is controlled substance registration for practitioner. The effective date is June 19, 2015. The expiration date is February 28, 2017. The business address is 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101. The current status is inactive.
Licensee Name | DAVID N KLEIN MD |
Credential ID | 1025153 |
Credential Number | CSP.0051011 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
12410 Milestone Center Dr Ste 225 Germantown MD 20876-7101 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2011-07-25 |
Effective Date | 2015-06-19 |
Expiration Date | 2017-02-28 |
Refresh Date | 2018-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
992083 | 1.050106 | Physician/Surgeon | 2011-07-12 | 2015-12-01 - 2016-11-30 | INACTIVE |
Street Address | 12410 MILESTONE CENTER DR STE 225 |
City | GERMANTOWN |
State | MD |
Zip Code | 20876-7101 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Donald W Augustin | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7103 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Derek S Wolfe | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
James P Mcquiston | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Michael G Cetta Md | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Aaron M. Snyder Md | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Noah L Keller | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
James E. Detrick | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Physician Assistant | 2016-05-01 ~ 2017-04-30 |
Lisa Hockman | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7103 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Jesse J Irwin | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Scot A Millay | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Roger Dale Parker | 20501 Seneca Meadows Parkway, Germantown, MD 20876 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Angelo L Falcone Md | 12410 Milestone Ctre Dr, Germantown, MD 20876 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
Ishrat Khatri | 12410 Milestone Center Drive, Germantown, MD 20876 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Jamila Pennyman | 20408 Honey Crisp Lane, Germantown, MD 20876 | Registered Nurse | 2008-08-01 ~ 2009-06-30 |
Wanda B Robinson | 21113 Kaul Lane, Germantown, MD 20876 | Registered Nurse | 1993-01-25 ~ 1994-03-31 |
Benjamin M Holquist | 25 Observation Ct, Germantown, MD 20876 | Registered Nurse | 1997-04-23 ~ 1998-05-31 |
Joanne S Boyce | 19804 Sovereign Ct, Germantown, MD 20876 | Dental Hygienist | 1995-01-03 ~ 1995-09-30 |
Bennett V Boccuzzi | 11513 Scottsbury Ter, Germantown, MD 20876 | Registered Nurse | 2004-06-07 ~ 2005-07-31 |
Kim-loan T Dinh | 11901 Isen Manor Drive, Germantown, MD 20876 | Hairdresser/cosmetician | 2004-07-19 ~ 2006-07-31 |
Karen M Meade · King | 21113 Hickory Forest Way, Germantown, MD 20876 | Registered Nurse | 2004-09-27 ~ 2005-10-31 |
Find all Licenses in zip 20876 |
City | GERMANTOWN |
Zip Code | 20876 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GERMANTOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gayle Klein | Docplus, Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jay S Klein Md | 66 Mountain Peak Rd, Chappaqua, NY 10514 | Controlled Substance Registration for Practitioner | 2011-09-09 ~ 2013-02-28 |
Eric Klein Dds | 55 East Ave, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Stephanie G Klein Md | 2 Crest Ave, Larchmont, NY 10538-1311 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jeffrey I Klein Md | 11 Alvord Rd, Morristown, NJ 07960-6301 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Stuart J Klein | 227 Church St Apt 6a, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Howard Klein Md | 62 Brainard Rd Apt A8, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Richard G Klein | 1 Aspetuck Ave, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Eric N Klein | 85 Seymour St Ste 415, Hartford, CT 06106-5523 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Rhonda Klein | 12 Woodcock Ln, Westport, CT 06880-1035 | Controlled Substance Registration for Practitioner | 2019-10-25 ~ 2021-02-28 |
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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).