WILLIAM R. HODORSKI
Controlled Substance Registration for Practitioner


Address: 39 Hill and Hollow Rd, Hyde Park, NY 12538-2920

WILLIAM R. HODORSKI (Credential# 1211147) 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

WILLIAM R. HODORSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056833. 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 39 Hill and Hollow Rd, Hyde Park, NY 12538-2920. The current status is lapsed.

Basic Information

Licensee Name WILLIAM R. HODORSKI
Credential ID 1211147
Credential Number CSP.0056833
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 39 Hill and Hollow Rd
Hyde Park
NY 12538-2920
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2014-04-01
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
538221 1.000489-DO Physician/Surgeon 1997-10-31 2016-09-01 - 2017-08-31 INACTIVE
260407 CSP.0030575 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-03-01 - 2008-02-29 INACTIVE
188254 CSP.0026298 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1998-03-01 - 1999-02-28 INACTIVE

Office Location

Street Address 39 HILL AND HOLLOW RD
City HYDE PARK
State NY
Zip Code 12538-2920

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Christopher C Kazolias 10 Main St, Hyde Park, NY 12538 Pharmacist 2020-02-01 ~ 2022-01-31
Joseph E Rougier 4676 Albany Post Rd Apt 4c2, Hyde Park, NY 12538 Registered Nurse 2018-08-02 ~ 2019-05-31
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Competitor

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City HYDE PARK
Zip Code 12538
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HYDE PARK

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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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