RITA M KINBACK MD
Controlled Substance Registration for Practitioner


Address: 601 E Front Ave Ste 400, Coeur D Alene, ID 83814-2701

RITA M KINBACK MD (Credential# 467459) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

RITA M KINBACK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041328. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 601 E Front Ave Ste 400, Coeur D Alene, ID 83814-2701. The current status is inactive.

Basic Information

Licensee Name RITA M KINBACK MD
Credential ID 467459
Credential Number CSP.0041328
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 601 E Front Ave Ste 400
Coeur D Alene
ID 83814-2701
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Issue Date 2007-04-12
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2010-03-31

Other licenses

ID Credential Code Credential Type Issue Term Status
560830 1.043248 Physician/Surgeon 2005-03-30 2009-03-06 - 2010-03-31 INACTIVE

Office Location

Street Address 601 E FRONT AVE STE 400
City COEUR D ALENE
State ID
Zip Code 83814-2701

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Gerson E. Alvarez 601 E Front Ave Ste 400, Coeur D Alene, ID 83814-5150 Physician/surgeon 2010-12-07 ~ 2011-03-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Dhawal A Goradia 1839 N. Government Way, Coeur D'alene, ID 83814 Physician/surgeon 2020-04-01 ~ 2021-03-31
Cody Lee Ray 1387 Kaleigh Ct, Coeur D'alene, ID 83814 Pharmacist 2020-02-01 ~ 2022-01-31
Lawrence D Bub Md 601 Front Ave #400, Coeur D Alene, ID 83814 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Thomas B Jones Md 601 Front Ave., #502, Coeur D Alene, ID 83814 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Christopher J Miller Md 601 Front Avenue, Suite 400, Coeur D Alene, ID 83814 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
David G Drake C/o Nighthawk Radiology Services, Coeur D'alene, ID 83814 Physician/surgeon 2010-02-01 ~ 2011-01-31
Robin Prasad Md 250 Northwest Blvd #202, Coeur D Alene, ID 83814 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
Doreen M Seal · Christiansen 1121 Shorwood Court, Coeur D Alene, ID 83814 Licensed Practical Nurse 2003-03-21 ~ 2004-03-31
Howard M Rosner 1620 Northwest Blvd #202, Coeur D'alene, ID 83814 Physician/surgeon 2020-01-01 ~ 2020-12-31
David D Burdette Md 601 Front Ave #400, Coeur D Alene, ID 83814 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Find all Licenses in zip 83814

Competitor

Search similar business entities

City COEUR D ALENE
Zip Code 83814
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COEUR D ALENE

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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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