MAGED BOTROS (Credential# 1330214) 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.
MAGED BOTROS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062009. 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 1156 N Linden Cir, Wichita, KS 67206-4084. The current status is lapsed.
| Licensee Name | MAGED BOTROS |
| Credential ID | 1330214 |
| Credential Number | CSP.0062009 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1156 N Linden Cir Wichita KS 67206-4084 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2016-01-25 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1321447 | 1.054862 | Physician/Surgeon | 2016-01-13 | 2017-06-01 - 2018-05-31 | INACTIVE |
| Street Address | 1156 N LINDEN CIR |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-4084 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian W Braudaway | Mkec Engineering Success, Wichita, KS 67206 | Professional Engineer | 2015-02-01 ~ 2016-01-31 |
| Renita S Selmon | 101 N Zelta, Wichita, KS 67206 | Registered Nurse | 1993-01-25 ~ 1993-09-30 |
| Marsha F Flora | 1510 N Armour, Wichita, KS 67206 | Licensed Practical Nurse | 2002-07-15 ~ 2003-07-31 |
| Radmila Radovanov | 8705 Stoneridge, Wichita, KS 67206 | Physician/surgeon | 1996-11-01 ~ 1997-11-30 |
| Tabletalk Global Inc | 2020 N Bramblewood St, Wichita, KS 67206-1094 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Cornelia Stumpf | 1481 N Stratford Ln, Wichita, KS 67206-1164 | Registered Nurse | 2015-04-01 ~ 2016-03-31 |
| John R Redford | 1040 N Broadmoor St, Wichita, KS 67206-3813 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Ronald L Brown | 9285 E Wilson Estates Ct, Wichita, KS 67206-4445 | Professional Engineer | 2018-02-01 ~ 2019-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie Kay Prentice | 8667 W 37th Ct N, Wichita, KS 67205-6400 | Registered Nurse - Temporary | 2020-06-23 ~ 2020-10-21 |
| Christina M Daily | 2320 E Macarthur Rd # G-5, Wichita, KS 67216-2683 | Registered Nurse | 2020-06-18 ~ 2021-05-31 |
| David L Hoffman | 14006 E. Hawthorne, Wichita, KS 67230 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jennifer Marie Jeffries | 8432 W Northridge Ct, Wichita, KS 67205-1665 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Daniel R Winter | 1024 East 1st, Wichita, KS 67214 | Architect | 2018-08-01 ~ 2019-07-31 |
| Diana Ruth Degrafenread | 4701 E Pembrook Ln, Wichita, KS 67220-2612 | Registered Nurse - Temporary | 2020-05-18 ~ 2020-09-15 |
| David Mwesigwa Lutembeka | 9252 W 21st St N Apt 310, Wichita, KS 67205-1877 | Registered Nurse - Temporary | 2020-05-18 ~ 2020-09-15 |
| Bottling Group LLC | 101 W 48th St S, Wichita, KS 67217-4937 | Non-alcoholic Beverage & Water Bottlers | 2020-07-01 ~ 2021-06-30 |
| Jcb Laboratories LLC | 7335 W 33rd St N, Wichita, KS 67205-9368 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Fagron Compounding Services LLC · Fagron Sterile Services LLC | 8710 E 34th St N, Wichita, KS 67226-2636 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in WICHITA | |||
| City | WICHITA |
| Zip Code | 67206 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WICHITA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mazal Maged Pa | 15 Parker Pl, Fords, NJ 08863-2418 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Maged Lotfalla | 123 York St Apt 16, New Haven, CT 06511-5614 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Maged M Bakr | Norwalk Hospital, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| 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 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MAGED BOTROS.
| 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).