KANCHAN M MAHON MD (Credential# 219321) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.
KANCHAN M MAHON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028579. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 700 Old Lane Road, Vestal, NY 13850. The current status is inactive.
| Licensee Name | KANCHAN M MAHON MD |
| Credential ID | 219321 |
| Credential Number | CSP.0028579 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
700 Old Lane Road Vestal NY 13850 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-03-01 |
| Effective Date | 2006-03-01 |
| Expiration Date | 2007-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 555675 | 1.038085 | Physician/Surgeon | 1999-08-20 | 2005-08-12 - 2006-09-30 | INACTIVE |
| Street Address | 700 OLD LANE ROAD |
| City | VESTAL |
| State | NY |
| Zip Code | 13850 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Earle John Reome | 2221 Kathleen Drive, Vestal, NY 13850 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Adam Victor Bielecki | 309 Vestal Road, Vestal, NY 13850 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Thomas O Genese Md | 44 Mountain Brook Drive, Vestal, NY 13850 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Haley Catherine Sorber | 120 Gardner Rd, Vestal, NY 13850 | Optometrist | 2018-08-10 ~ 2019-01-31 |
| Peter C Allaben · Mcfarland-jhnsn Engrs | 3119 Burris Rd #78, Vestal, NY 13850 | Professional Engineer | 1990-04-06 ~ 1991-01-31 |
| Albert Wolkoff | 14 Pine Meadow Road, Vestal, NY 13850 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Jack H Afarian | 328 Chestnut Lane, Vestal, NY 13850 | Electrical Unlimited Journeyperson | ~ |
| Beth W Hapke | 417 Crescent Lane, Vestal, NY 13850 | Controlled Substance Registration for Practitioner | 2008-04-18 ~ 2009-02-28 |
| James R Fair IIi | 812 Rano Boulevard, Vestal, NY 13850 | Architect | 2008-08-05 ~ 2009-07-31 |
| Sharon K Holmberg | 825 Dickinson Dr, Vestal, NY 13850 | Registered Nurse | 2009-01-12 ~ 2009-10-31 |
| Find all Licenses in zip 13850 | |||
| City | VESTAL |
| Zip Code | 13850 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VESTAL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Theresa R Mahon Md | 410 Westchester Ave Unit 314, Port Chester, NY 10573-3655 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Yuk Mng Liu | 150 Seymour St Fl 2, Waterbury, CT 06708-3754 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on KANCHAN M MAHON 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).