ELIZABETH KORN MD
Controlled Substance Registration for Practitioner


Address: 61 Darren Drive, Martinsville, NJ 08836

ELIZABETH KORN MD (Credential# 161267) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.

Business Overview

ELIZABETH KORN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021500. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1999. The expiration date is February 28, 2000. The business address is 61 Darren Drive, Martinsville, NJ 08836. The current status is inactive.

Basic Information

Licensee Name ELIZABETH KORN MD
Credential ID 161267
Credential Number CSP.0021500
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 61 Darren Drive
Martinsville
NJ 08836
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1999-03-01
Expiration Date 2000-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
547855 1.029552 Physician/Surgeon 1988-10-28 1998-11-09 - 1999-08-31 INACTIVE

Office Location

Street Address 61 DARREN DRIVE
City MARTINSVILLE
State NJ
Zip Code 08836

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Competitor

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City MARTINSVILLE
Zip Code 08836
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MARTINSVILLE

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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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