MICHELLE L KATZ MD
Controlled Substance Registration for Practitioner


Address: 20a South Quaker Lane, West Hartford, CT 06119

MICHELLE L KATZ MD (Credential# 469357) 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

MICHELLE L KATZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041396. 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 20a South Quaker Lane, West Hartford, CT 06119. The current status is inactive.

Basic Information

Licensee Name MICHELLE L KATZ MD
Credential ID 469357
Credential Number CSP.0041396
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 20a South Quaker Lane
West Hartford
CT 06119
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-04-13
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
563256 1.045674 Physician/Surgeon 2007-07-19 2007-07-19 - 2008-03-31 INACTIVE
380345 CSP.0035926 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-09-24 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 20A SOUTH QUAKER LANE
City WEST HARTFORD
State CT
Zip Code 06119

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Competitor

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City WEST HARTFORD
Zip Code 06119
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD

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Alan A Katz 276 Lockwood Rd, Fairfield, CT 06432 Controlled Substance Registration for Practitioner 1994-05-11 ~ 1995-12-01
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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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