KATIE CORCORAN
Controlled Substance Registration for Practitioner


Address: 73 E 115th St Apt 3a, New York, NY 10029-1182

KATIE CORCORAN (Credential# 1230452) 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

KATIE CORCORAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057567. 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 73 E 115th St Apt 3a, New York, NY 10029-1182. The current status is lapsed.

Basic Information

Licensee Name KATIE CORCORAN
Credential ID 1230452
Credential Number CSP.0057567
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 73 E 115th St Apt 3a
New York
NY 10029-1182
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2014-06-24
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Office Location

Street Address 73 E 115TH ST APT 3A
City NEW YORK
State NY
Zip Code 10029-1182

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City NEW YORK
Zip Code 10029
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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