MARK D ROTHMAN
Controlled Substance Registration for Practitioner


Address: 100 York St #12-n, New Haven, CT 06511

MARK D ROTHMAN (Credential# 379865) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

MARK D ROTHMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035741. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 100 York St #12-n, New Haven, CT 06511. The current status is inactive.

Basic Information

Licensee Name MARK D ROTHMAN
Credential ID 379865
Credential Number CSP.0035741
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 100 York St #12-n
New Haven
CT 06511
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-09-14
Effective Date 2008-03-01
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
561259 1.043677 Physician/Surgeon 2005-07-27 2007-09-17 - 2008-09-30 INACTIVE

Office Location

Street Address 100 YORK ST #12-N
City NEW HAVEN
State CT
Zip Code 06511

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Competitor

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City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW 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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