MATTHEW BANK MD
Controlled Substance Registration for Practitioner


Address: 88 Cuttermill Road Apt 308, Manhassett, NY 11021

MATTHEW BANK MD (Credential# 236214) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 5, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.

Business Overview

MATTHEW BANK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029621. The credential type is controlled substance registration for practitioner. The effective date is March 5, 2002. The expiration date is February 28, 2003. The business address is 88 Cuttermill Road Apt 308, Manhassett, NY 11021. The current status is inactive.

Basic Information

Licensee Name MATTHEW BANK MD
Credential ID 236214
Credential Number CSP.0029621
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 88 Cuttermill Road Apt 308
Manhassett
NY 11021
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2002-03-05
Expiration Date 2003-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
556194 1.038606 Physician/Surgeon 2000-05-01 2001-01-02 - 2002-01-31 INACTIVE

Office Location

Street Address 88 CUTTERMILL ROAD APT 308
City MANHASSETT
State NY
Zip Code 11021

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City MANHASSETT
Zip Code 11021
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANHASSETT

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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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