KATHRYN S MITRA
Controlled Substance Registration for Practitioner


Address: 41 Bellain Ave, Harrison, NY 10528-3009

KATHRYN S MITRA (Credential# 1145380) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

KATHRYN S MITRA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054132. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 41 Bellain Ave, Harrison, NY 10528-3009. The current status is lapsed.

Basic Information

Licensee Name KATHRYN S MITRA
Credential ID 1145380
Credential Number CSP.0054132
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 41 Bellain Ave
Harrison
NY 10528-3009
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2013-01-15
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1135862 10.109345 Registered Nurse 2012-12-12 2017-10-01 - 2018-09-30 INACTIVE
1135879 12.005244 Advanced Practice Registered Nurse 2012-12-12 2017-10-01 - 2018-09-30 INACTIVE

Office Location

Street Address 41 BELLAIN AVE
City HARRISON
State NY
Zip Code 10528-3009

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Spencer A Lutchen 12 Westwood Drive, Harrison, NY 10528 Veterinarian 2020-07-01 ~ 2021-06-30
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Muhammad S Ahmed 166 Fremont Street, Harrison, NY 10528 Real Estate Salesperson 2016-06-01 ~ 2017-05-31
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Competitor

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City HARRISON
Zip Code 10528
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HARRISON

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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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