MARK J CORSO MD
Controlled Substance Registration for Practitioner


Address: 1 Mansfield Grove Rd #109, East Haven, CT 06512

MARK J CORSO MD (Credential# 263731) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 22, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.

Business Overview

MARK J CORSO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030620. The credential type is controlled substance registration for practitioner. The effective date is May 22, 2003. The expiration date is February 28, 2004. The business address is 1 Mansfield Grove Rd #109, East Haven, CT 06512. The current status is inactive.

Basic Information

Licensee Name MARK J CORSO MD
Credential ID 263731
Credential Number CSP.0030620
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1 Mansfield Grove Rd #109
East Haven
CT 06512
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2003-05-22
Expiration Date 2004-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
557068 1.039483 Physician/Surgeon 2001-04-26 2002-10-10 - 2003-11-30 INACTIVE

Office Location

Street Address 1 MANSFIELD GROVE RD #109
City EAST HAVEN
State CT
Zip Code 06512

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Competitor

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City EAST HAVEN
Zip Code 06512
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST HAVEN

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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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