MARK GORMAN
Controlled Substance Registration for Practitioner


Address: 333 Cedar St Lci 700, New Haven, CT 06510

MARK GORMAN (Credential# 324804) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.

Business Overview

MARK GORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032811. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 333 Cedar St Lci 700, New Haven, CT 06510. The current status is inactive.

Basic Information

Licensee Name MARK GORMAN
Credential ID 324804
Credential Number CSP.0032811
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 333 Cedar St Lci 700
New Haven
CT 06510
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2005-03-01
Expiration Date 2006-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
558391 1.040808 Physician/Surgeon 2002-09-03 2004-08-09 - 2005-09-30 INACTIVE

Office Location

Street Address 333 CEDAR ST LCI 700
City NEW HAVEN
State CT
Zip Code 06510

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Katherine G Kennedy 65 Trumbull St, New Haven, CT 06510 Physician/surgeon 2020-07-01 ~ 2021-06-30
Molly Elizabeth Mcadow 333 Cedar Street, New Haven, CT 06510 Physician/surgeon 2020-07-01 ~ 2021-06-30
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Competitor

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City NEW HAVEN
Zip Code 06510
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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Anita Gorman Aprn 92 Fenwood Dr, Old Saybrook, CT 06475 Controlled Substance Registration for Practitioner 1998-03-01 ~ 1999-02-28
Thomas F Gorman 54 Lafayette Place, Greenwich, CT 06830 Controlled Substance Registration for Practitioner 2019-04-23 ~ 2021-02-28
Arthur T Gorman Md 3 Baneberry Lane, Wethersfield, CT 06109 Controlled Substance Registration for Practitioner 2000-02-29 ~ 2001-02-28
Francis P Gorman Aprn 202 Beach Street, Litchfield, CT 06759 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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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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