CLAUDE E FORKNER JR
Controlled Substance Registration for Practitioner


Address: 20 Kirk Rd, W Cornwall, CT 06796

CLAUDE E FORKNER JR (Credential# 160386) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 17, 1993. The license expiration date date is September 1, 1995. The license status is INACTIVE.

Business Overview

CLAUDE E FORKNER JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019468. The credential type is controlled substance registration for practitioner. The effective date is August 17, 1993. The expiration date is September 1, 1995. The business address is 20 Kirk Rd, W Cornwall, CT 06796. The current status is inactive.

Basic Information

Licensee Name CLAUDE E FORKNER JR
Credential ID 160386
Credential Number CSP.0019468
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 20 Kirk Rd
W Cornwall
CT 06796
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1993-08-17
Expiration Date 1995-09-01
Refresh Date 2004-04-23

Other locations

Licensee Name Office Address Credential Effective / Expiration
Claude E Forkner Jr 10801 E Happy Valley, Scottsdale, AZ 85255 Physician/surgeon 1997-07-11 ~ 1998-07-31

Office Location

Street Address 20 KIRK RD
City W CORNWALL
State CT
Zip Code 06796

Licenses in the same zip code

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Lisa Keskinen 15 Town Street, West Cornwall, CT 06796 Architect 2020-08-01 ~ 2021-07-31
Michael B Gordon 10 Smith Hill Rd, West Cornwall, CT 06796 Architect 2020-08-01 ~ 2021-07-31
Karen Stevens 176 Cream Hill Rd, West Cornwall, CT 06796 Bakery 2020-07-01 ~ 2021-06-30
Joy H Wyatt 16 Mcclelland Road, West Cornwall, CT 06796 Notary Public Appointment 2020-09-01 ~ 2025-08-31
Duncan P Mcclelland 6 Great Hill Rd, West Cornwall, CT 06796 Architect 2020-08-01 ~ 2021-07-31
Stephen P Kocis 27 Cemetery Hill Road, West Cornwall, CT 06796 Real Estate Salesperson 2020-05-29 ~ 2021-05-31
David R Hurlburt · David Hurlburt 74 Grange Hall Rd, West Cornwall, CT 06796 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Kevin L Reinhardt 19 Railroad Street, West Cornwall, CT 06796 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Geralyn J Kenniston 12 Clark Hill Road, West Cornwall, CT 06796 Notary Public Appointment 2015-02-27 ~ 2020-02-28
Audrey A Cole 270 W Cornwall Rd, W Cornwall, CT 06796 Certified General Real Estate Appraiser 2020-05-01 ~ 2021-04-30
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Competitor

Search similar business entities

City W CORNWALL
Zip Code 06796
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + W CORNWALL

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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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