JUDITH M KNOLL DO
Controlled Substance Registration for Practitioner


Address: 5507 Lake Shore Dr, Erie, PA 16505-1264

JUDITH M KNOLL DO (Credential# 497591) 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

JUDITH M KNOLL DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043238. 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 5507 Lake Shore Dr, Erie, PA 16505-1264. The current status is inactive.

Basic Information

Licensee Name JUDITH M KNOLL DO
Credential ID 497591
Credential Number CSP.0043238
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5507 Lake Shore Dr
Erie
PA 16505-1264
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-04-09
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
563923 1.046341 Physician/Surgeon 2008-03-26 2008-07-22 - 2009-09-30 INACTIVE

Office Location

Street Address 5507 LAKE SHORE DR
City ERIE
State PA
Zip Code 16505-1264

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Competitor

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City ERIE
Zip Code 16505
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ERIE

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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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