SOPHIE P KORZAN (Credential# 1281771) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
SOPHIE P KORZAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060024. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 11703 Newport Mill Rd, Silver Spring, MD 20902-2420. The current status is inactive.
| Licensee Name | SOPHIE P KORZAN |
| Credential ID | 1281771 |
| Credential Number | CSP.0060024 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
11703 Newport Mill Rd Silver Spring MD 20902-2420 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2015-05-12 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1460092 | 1.061359 | Physician/Surgeon | 2018-06-14 | 2018-12-01 - 2019-11-30 | INACTIVE |
| 1488600 | 1.057995-RES | Resident Physician | 2015-06-28 | 2018-06-28 - 2019-06-30 | INACTIVE |
| Street Address | 11703 NEWPORT MILL RD |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20902-2420 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samuel H Levy | 11004 Hemingway Ct, Silver Spring, MD 20902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lorraine Anthony | 3100 Mcmahon Road, Silver Spring, MD 20902 | Registered Nurse | ~ |
| Kristin Jarrell | 11175 Georgia Ave, Silver Spring, MD 20902 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Herson Hernandez | 2801 Randolph Rd, Silver, MD 20902 | Respiratory Care Practitioner | 2020-01-01 ~ 2020-12-31 |
| Theodore P Chambers | 2121 Medical Park Drive, Suite 5, Silver Spring, MD 20902 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Karen L Laugel Md | 11717 Leesborough Circle, Silver Spring, MD 20902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gary Joseph Weil | Bldg 5, Nih, Bethesda, MD 20902 | Physician/surgeon | 1978-04-10 ~ 1981-09-30 |
| Yizhe Wang | 10925 Dayton Street, Silver Spring, MD 20902 | Massage Therapist | 2018-06-01 ~ 2020-05-31 |
| Daniel Paul Raboin | 2509 Mcmahon Rd, Wheaton, MD 20902 | Pharmacist | 2011-02-01 ~ 2012-01-31 |
| Benjamin W Edinger | 11807 Kemp Mill Road, Silver Springs, MD 20902 | Physician/surgeon | 2008-08-18 ~ 2009-10-31 |
| Find all Licenses in zip 20902 | |||
| City | SILVER SPRING |
| Zip Code | 20902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SILVER SPRING |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sophie Bernard | 205 Church St Apt 7l, New Haven, CT 06510-1884 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sophie Chheang | 212 Warren St Apt 2l, New York, NY 10282-0007 | Controlled Substance Registration for Practitioner | 2019-06-17 ~ 2021-02-28 |
| Julia Sophie Frueh | 81 Seemans Ln Apt 37, Milford, CT 06460-4368 | Controlled Substance Registration for Practitioner | 2018-04-03 ~ 2021-02-28 |
| Sophie's Place Restaurant LLC · Sophie Eleftheriades | 361 Boston Post Rd, N Windham, CT 06256 | Bakery | 2001-07-01 ~ 2002-06-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Manincor Sophie | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2007-10-24 ~ 2010-10-23 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on SOPHIE P KORZAN.
| 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).