MARTIN B COHEN MD
Controlled Substance Registration for Practitioner


Address: 19 Bradhurst Ave Ste 700, Hawthorne, NY 10532

MARTIN B COHEN MD (Credential# 358806) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

MARTIN B COHEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034363. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 19 Bradhurst Ave Ste 700, Hawthorne, NY 10532. The current status is inactive.

Basic Information

Licensee Name MARTIN B COHEN MD
Credential ID 358806
Credential Number CSP.0034363
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 19 Bradhurst Ave Ste 700
Hawthorne
NY 10532
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
559566 1.041984 Physician/Surgeon 2003-11-10 2010-12-01 - 2011-11-30 INACTIVE

Office Location

Street Address 19 BRADHURST AVE STE 700
City HAWTHORNE
State NY
Zip Code 10532

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City HAWTHORNE
Zip Code 10532
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAWTHORNE

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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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