EMILY R KIRSCHENBAUM MD
Controlled Substance Registration for Practitioner


Address: 82 Brookby Rd, Scarsdale, NY 10583-4541

EMILY R KIRSCHENBAUM MD (Credential# 490256) 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.

Business Overview

EMILY R KIRSCHENBAUM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042927. 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 82 Brookby Rd, Scarsdale, NY 10583-4541. The current status is inactive.

Basic Information

Licensee Name EMILY R KIRSCHENBAUM MD
Credential ID 490256
Credential Number CSP.0042927
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 82 Brookby Rd
Scarsdale
NY 10583-4541
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-12-13
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
563225 1.045643 Physician/Surgeon 2007-07-10 2011-11-01 - 2012-10-31 INACTIVE

Office Location

Street Address 82 BROOKBY RD
City SCARSDALE
State NY
Zip Code 10583-4541

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Competitor

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City SCARSDALE
Zip Code 10583
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SCARSDALE

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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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