LINDSAY J KOZICZ PA
Controlled Substance Registration for Practitioner


Address: 410 South St, Auburn, MA 01501-2733

LINDSAY J KOZICZ PA (Credential# 514312) 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

LINDSAY J KOZICZ PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044591. 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 410 South St, Auburn, MA 01501-2733. The current status is inactive.

Basic Information

Licensee Name LINDSAY J KOZICZ PA
Credential ID 514312
Credential Number CSP.0044591
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 410 South St
Auburn
MA 01501-2733
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-09-19
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
743899 23.002150 Physician Assistant 2008-09-02 2011-05-01 - 2012-04-30 INACTIVE
844588 70.004855 Emergency Medical Technician 2004-05-25 2006-06-09 - 2008-04-01 INACTIVE
422493 PTN.0007917 PHARMACY TECHNICIAN 2005-12-21 2005-12-21 - 2006-03-31 INACTIVE

Office Location

Street Address 410 SOUTH ST
City AUBURN
State MA
Zip Code 01501-2733

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Kevin R Seaman 263 South St, Auburn, MA 01501 Professional Engineer 2020-02-01 ~ 2021-01-31
Katherine E Kelley 7 Coolidge St, Auburn, MA 01501 Pharmacist 2020-02-01 ~ 2022-01-31
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Competitor

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City AUBURN
Zip Code 01501
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AUBURN

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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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