BETH O HODGE MD
Controlled Substance Registration for Practitioner


Address: 1440 N Lake Shore Dr 8h, Chicago, IL 60610

BETH O HODGE MD (Credential# 145571) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

BETH O HODGE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011975. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 1440 N Lake Shore Dr 8h, Chicago, IL 60610. The current status is inactive.

Basic Information

Licensee Name BETH O HODGE MD
Credential ID 145571
Credential Number CSP.0011975
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1440 N Lake Shore Dr 8h
Chicago
IL 60610
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
545269 1.024957 Physician/Surgeon 1983-09-12 2009-04-20 - 2010-06-30 INACTIVE

Office Location

Street Address 1440 N LAKE SHORE DR 8H
City CHICAGO
State IL
Zip Code 60610

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Competitor

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City CHICAGO
Zip Code 60610
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHICAGO

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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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