CARRIE A MIHORDIN DO (Credential# 446656) 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.
CARRIE A MIHORDIN DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040088. 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 5701 W 119th St Ste 209, Overland Park, KS 66209-3749. The current status is inactive.
Licensee Name | CARRIE A MIHORDIN DO |
Credential ID | 446656 |
Credential Number | CSP.0040088 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
5701 W 119th St Ste 209 Overland Park KS 66209-3749 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2006-09-01 |
Effective Date | 2011-03-01 |
Expiration Date | 2013-02-28 |
Refresh Date | 2014-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
563126 | 1.045544-DO | Physician/Surgeon | 2007-06-21 | 2011-03-01 - 2012-02-29 | INACTIVE |
Street Address | 5701 W 119TH ST STE 209 |
City | OVERLAND PARK |
State | KS |
Zip Code | 66209-3749 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William Jacob Nowack | 12417 Howe Drive, Leawood, KS 66209 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brenda Lynn Johnson | 2204 West 127th St, Leawood, KS 66209 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Munis A Mattu | 12609 Walmer Street, Overland Park, KS 66209 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
Kerry L Knott | 12730 State Line Road Suite 100, Leawood, KS 66209 | Architect | 2019-08-01 ~ 2020-07-31 |
M N Bjeldanes · Black&veatch Cnslt Engrg | 2018 Condolea Dr, Leawood, KS 66209 | Professional Engineer | 1995-01-04 ~ 1996-01-31 |
Black&veatch Engrs-archs | 2034 Condolea Dr, Leawood, KS 66209 | Professional Engineer | 1989-02-08 ~ 1990-01-31 |
Lynda L Hoffman | 12625 Howe Dr, Leawood, KS 66209 | Professional Engineer | 1999-02-01 ~ 2000-01-31 |
Keith A Boyd | 2221 W 121 St, Leawood, KS 66209 | Professional Engineer | 1999-02-01 ~ 2000-01-31 |
Blake Earl Ellis | 6029 W 124th Ter, Overland Park, KS 66209 | Professional Engineer | 2003-02-01 ~ 2004-01-31 |
Charles R Page | 12504 Delmar, Leawood, KS 66209 | Professional Engineer | 2002-02-01 ~ 2003-01-31 |
Find all Licenses in zip 66209 |
City | OVERLAND PARK |
Zip Code | 66209 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OVERLAND PARK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carrie F Thiessen | 92 Mansfield St, New Haven, CT 06511-3514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Carrie C Morrison Md | 3 Brittania Dr, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
Carrie Harris Pa | 219 Anderson Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Carrie A Doherty | 20 E Shore Rd, Ellington, CT 06029-3114 | Controlled Substance Registration for Practitioner | 2019-04-08 ~ 2021-02-28 |
Carrie Wong | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Carrie Klima Lnm | 147 Willow St Apt #2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
Carrie F Spangler | 151 Tremont St Apt 11p, Boston, MA 02111-1110 | Controlled Substance Registration for Practitioner | 2016-04-25 ~ 2017-02-28 |
Carrie Gomez | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2013-04-19 ~ 2015-02-28 |
Carrie L Wyskiel | 129 Skokorat St, Seymour, CT 06483-3044 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Carrie Kim Gomez | 385 Main St S, Southbury, CT 06488-4240 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).