PHILIP T KORTHUIS MD (Credential# 193074) 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.
PHILIP T KORTHUIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026944. 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 896 Quinnipiac Ave #7, New Haven, CT 06513. The current status is inactive.
| Licensee Name | PHILIP T KORTHUIS MD |
| Credential ID | 193074 |
| Credential Number | CSP.0026944 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
896 Quinnipiac Ave #7 New Haven CT 06513 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1999-03-01 |
| Expiration Date | 2000-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 554231 | 1.036640 | Physician/Surgeon | 1998-02-13 | 1998-12-30 - 1999-12-31 | INACTIVE |
| Street Address | 896 QUINNIPIAC AVE #7 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06513 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeff Raizer Md | 896 Quinnipiac Ave #7, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Odalys Guartan | 17 Dell Dr, East Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Marilu E Espinsa | 148 Poplar St, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Javon Christian Woodard | 404 Poplar St, New Haven, CT 06513 | Registered Nurse | ~ |
| Norma Congacha | 22 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-05-31 |
| Sonia Sunanita Salazar | 48 Wolcott St 1 L., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Rosa Zuna | 426 Ferry St. 1st Fl, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Veronica Congacha | 28 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jessica L Vallejo | 41 Oak Ridge Dr, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Ami Nosenzo · Nosenzo | 1423 Quinnipiac Ave, New Haven, CT 06513 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Taquetta Delis Mitchell | 40 Foxon Hill Rd I34, New Haven, CT 06513 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06513 | |||
| City | NEW HAVEN |
| Zip Code | 06513 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip Y Wai | 100 Temple St Apt 202, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2006-03-28 ~ 2007-02-28 |
| Philip A Frick | Po Box 719, Niantic, CT 06357-0719 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip G Ong | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Philip M Manger | 265 College St 12q, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2004-10-13 ~ 2005-02-28 |
| Philip P Mcgeoghan Jr | 418 Meadow St., Agawam, MA 01001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Philip R Pinter | 278 Vernon St, Manchester, CT 06042-3418 | Controlled Substance Registration for Practitioner | 2019-12-03 ~ 2021-02-28 |
| Philip S Kurzman | 431 Whitney Ave Apt B2, New Haven, CT 06511-2330 | Controlled Substance Registration for Practitioner | 2008-09-12 ~ 2009-02-28 |
| Philip Brunquell | 100 Ladyslipper Ln, Glastonbury, CT 06033-1740 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip A March | 6 Highland Sq, Avon, CT 06001-3309 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Philip S Heilpern Md | Stone Mountain, GA 30087 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).