CHASE GORDON CULVER (Credential# 1496720) 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.
CHASE GORDON CULVER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067567. 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 5253 Fannin St Apt 2613, Houston, TX 77004-5875. The current status is inactive.
Licensee Name | CHASE GORDON CULVER |
Credential ID | 1496720 |
Credential Number | CSP.0067567 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
5253 Fannin St Apt 2613 Houston TX 77004-5875 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
Issue Date | 2018-06-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-04-22 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1519704 | 1.061215-RES | Resident Physician | 2018-08-01 | 2018-08-01 - 2019-06-30 | INACTIVE |
Street Address | 5253 FANNIN ST APT 2613 |
City | HOUSTON |
State | TX |
Zip Code | 77004-5875 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Afua A Hassan | 2218 Barbee St #b, Houston, TX 77004 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
Janine Douglas | 4420 La Branch St Apt 2, Houston, TX 77004 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Janice Ferrari | 5755 Almeda Rd Apt 617, Houston, TX 77004 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Elizabeth Hossan | 1701 Hermann Dr, Houston, TX 77004 | Advanced Practice Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Manuel E Rodriguez Acosta Md | 1712 Ruth St, Houston, TX 77004 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Gina Andrews | 5500 Sampson St, Houston, CT 77004 | Registered Nurse - Temporary | 2017-06-13 ~ 2017-10-10 |
Ramesha Papanna Md | 1 Hermann Museum Circle Drive, Houston, TX 77004 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Susan M Scott Aprn | 5253 Fannin St, Houston, TX 77004 | Advanced Practice Registered Nurse | 2012-05-01 ~ 2013-04-30 |
Paul Gerhard Loubser | 3191 Ruskin Street, Houston, TX 77004 | Physician/surgeon | 1984-07-02 ~ 1988-07-30 |
Ajay Dhadwal | 1701 Hermann Drive, Houston, TX 77004 | Physician/surgeon | 2009-03-19 ~ 2010-03-31 |
Find all Licenses in zip 77004 |
City | HOUSTON |
Zip Code | 77004 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HOUSTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bridget B Kelly | 95 Culver Ln, Portland, CT 06480-1324 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Adam S Kim Md | 124 Culver Lane, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Jason S Szobota | 31 Culver Lane, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Stephanie C Jost Md | 124 Culver Lane, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Isaiah W Chase | 300 George St Ste 901, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Sarah E Schauer | 18 Fox Chase Rd, Bloomfield, CT 06002-2152 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Candy Y Didonato | 47 Chase Ave, Dudley, MA 01571-3404 | Controlled Substance Registration for Practitioner | 2019-05-14 ~ 2021-02-28 |
O'neil J Green | 2 Fox Chase Rd, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Gabriele S Chase | 730 Randolph Rd, Middletown, CT 06457-5331 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Catherine E Chase Do | 3 Oyster Ln, Warren, RI 02885 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Please comment or provide details below to improve the information on CHASE GORDON CULVER.
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).