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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
560830 | 1.043248 | Physician/Surgeon | 2005-03-30 | 2009-03-06 - 2010-03-31 | INACTIVE |
Street Address | 601 E FRONT AVE STE 400 |
City | COEUR D ALENE |
State | ID |
Zip Code | 83814-2701 |
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 |
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 |
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 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rita Power | 10a Elizabeth St, Bethel, CT 06801-2100 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Andrew G Reitwiesner Md | 51 Rita Dr, New Fairfield, CT 06812 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Kimberly A Hunt | 43b Rita Dr, Bristol, CT 06010-7850 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Rita Okumu | 733 Whitney Ave Apt 2, New Haven, CT 06511-1342 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rita K Kuwahara | 401 Wellingham Dr, Durham, NC 27713 | Controlled Substance Registration for Practitioner | 2019-07-01 ~ 2021-02-28 |
Rita M Bustamante | 226 Highridge Ct, Peekskill, NY 10566-4449 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Rita Parikh Md | 145 Huguenot St, New Rochelle, NY 10801 | Controlled Substance Registration for Practitioner | ~ |
Rita M Fauliso | 156 Ocean Boulevard, Seabrook, NH 03874 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Rita J Louard | 123 York Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1993-03-05 ~ 1995-03-01 |
Rita Power Dvm | 25 Parmalee Hill, Newtown, CT 06470 | Controlled Substance Registration for Practitioner | 1993-11-15 ~ 1995-12-01 |
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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).