MARY S LARSON MD (Credential# 180173) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.
MARY S LARSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025295. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2002. The expiration date is February 28, 2003. The business address is Cardiovascular Med - 2900 Whipple Ave, Redwood City, CA 94062. The current status is inactive.
Licensee Name | MARY S LARSON MD |
Credential ID | 180173 |
Credential Number | CSP.0025295 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
Cardiovascular Med - 2900 Whipple Ave Redwood City CA 94062 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 2002-03-01 |
Expiration Date | 2003-02-28 |
Refresh Date | 2009-01-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
553432 | 1.035839 | Physician/Surgeon | 1997-02-21 | 2002-01-30 - 2003-01-31 | INACTIVE |
Street Address | CARDIOVASCULAR MED - 2900 WHIPPLE AVE |
City | REDWOOD CITY |
State | CA |
Zip Code | 94062 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kimberly Pisani | 840 Occidental Way, Emerald Hills, CA 94062 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Benchmark Capital Partners X, L.p. | 2965 Woodside Rd, Redwood City, CA 94062 | Securities - Exemptions | 2020-05-20 ~ |
Carolyn Jeffrey Mannon | 133 Arch Street, Suite 7, Redwood City, CA 94062 | Physician/surgeon | 2018-09-24 ~ 2019-09-30 |
Jody L Weir | 2210 Brewster Ave, Redwood City, CA 94062 | Certified Public Accountant Certificate | ~ |
Portfolia Firststep Fund, LLC | 28 Meadow Road, Redwood City, CA 94062 | Securities - Exemptions | 2019-11-18 ~ |
Michelle L Merola | 1119 Hopkins Ave, Redwood City, CA 94062-1412 | Registered Nurse | 2017-03-01 ~ 2018-02-28 |
Louise Bakalov | 2621 Hopkins Ave, Redwood City, CA 94062-2153 | Registered Nurse | ~ |
Faith Angela Reilly | 427 Avenue Del Ora, Redwood City, CA 94062-2201 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Edward R Voccola | 2995 Woodside Rd Ste 400, Woodside, CA 94062-2448 | Paramedic | 2020-05-01 ~ 2021-04-30 |
Blue Planet Network | 25 Seki Ct, Emerald Hills, CA 94062-3401 | Public Charity | ~ |
Find all Licenses in zip 94062 |
City | REDWOOD CITY |
Zip Code | 94062 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + REDWOOD CITY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Karl Larson Pa | 455 Parker Ave So, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Scott V Larson | 49 Hawthorne Ave, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Maureen R Burke Md | 606 Larson Drive, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Jeffrey Larson Goodsell | 66 Stonepost Rd, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jessie Larson Md | 13 Rebecca Lane, Killingworth, CT 06419 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Heather Larson Md | 1275 Summer St Ste 301, Stamford, CT 06905-5315 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Brita Larson Guirguis | 634 Prospect St, New Haven, CT 06511-2004 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Raymond E Larson Dvm | 2300 Berlin Tpke, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Natasha A Larson | 37 Maplewood Avenue, 3rd Floor, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2009-08-10 ~ 2011-02-28 |
Mary B O'malley | Po Box 447, Housatonic, MA 01236-0447 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
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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).