BETTY SPIVACK MD (Credential# 158637) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.
BETTY SPIVACK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017024. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2001. The expiration date is February 28, 2002. The business address is 8804 Nottingham Pkwy, Louisville, KY 40222. The current status is inactive.
| Licensee Name | BETTY SPIVACK MD |
| Credential ID | 158637 |
| Credential Number | CSP.0017024 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
8804 Nottingham Pkwy Louisville KY 40222 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2001-03-01 |
| Expiration Date | 2002-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547988 | 1.029766 | Physician/Surgeon | 1989-03-03 | 2000-10-23 - 2001-11-30 | INACTIVE |
| Street Address | 8804 NOTTINGHAM PKWY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40222 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phoenix Parent Holdings, Inc. | 805 N. Whittington Parkway, Louisville, KY 40222 | Securities - Exemptions | 2019-10-09 ~ |
| Viviana Emilia Mari | 7422 Steeplecrest Cir, Louisville, KY 40222 | Registered Nurse | 2019-09-12 ~ 2020-06-30 |
| James B Carrico | 600 Colonel Anderson Pkwy., Louisville, KY 40222 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Madeline R Hoeffel · Hillshire House Inc | 104 Chipping Way #3, Louisville, KY 40222 | Real Estate Salesperson | 2001-06-14 ~ 2002-05-31 |
| Robert D Herr | 310 Whittington Parkway, Ste 1b, Louisville, KY 40222 | Physician/surgeon | 1988-07-15 ~ 1989-04-30 |
| Said K Abusalem | 7836 Royalty Ave #e, Louisville, KY 40222 | Registered Nurse | 2010-12-01 ~ 2011-11-30 |
| Toni L Gray | 7103 Woolrich Rd, Louisville, KY 40222 | Registered Nurse | 2002-04-03 ~ 2002-05-31 |
| Molly G Brewer | 926 Fenley Avenue, Louisville, KY 40222 | Registered Nurse | 2004-05-20 ~ 2005-07-31 |
| Lory A Decker | 314 Hidden Oak Way, Louisville, KY 40222 | Registered Nurse | 2004-01-30 ~ 2005-02-28 |
| Teresa A Lubrick | 1312 Holsworth Lane, Louisville, KY 40222 | Registered Nurse | 1991-12-20 ~ 1992-12-31 |
| Find all Licenses in zip 40222 | |||
| City | LOUISVILLE |
| Zip Code | 40222 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LOUISVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Betty Liao | 167 Purchase St, Rye, NY 10580-2171 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Betty B C Y Low Md | 6 Fulton Place, W Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 1994-02-08 ~ 1996-03-01 |
| Betty Kong | 125 Juniper Dr, Milford, CT 06461-9148 | Controlled Substance Registration for Practitioner | 2015-07-07 ~ 2017-02-28 |
| Betty Hsiao | 300 Cedar St, New Haven, CT 06519-1612 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Betty L Lau | 300 Cold Spring Rd Apt 304, Rocky Hill, CT 06067-3126 | Controlled Substance Registration for Practitioner | ~ |
| Betty A Pomerleau | 747 Tahmore Drive, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 1993-12-09 ~ 1995-12-01 |
| Betty Carreira | Family Footcare, PC, Naugatuck, CT 06770-5033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Betty Ann Robustelli Md | 4 Hospital Plaza, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| George Chudolij | 4 Betty Spring Rd, East Freetown, MA 02717-1518 | 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 |
Please comment or provide details below to improve the information on BETTY SPIVACK MD.
| 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).