KAREN H FALCK PA-C
Controlled Substance Registration for Practitioner


Address: 91 Montauk Ave, Stonington, CT 06378-2320

KAREN H FALCK PA-C (Credential# 518213) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

KAREN H FALCK PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044803. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 91 Montauk Ave, Stonington, CT 06378-2320. The current status is lapsed.

Basic Information

Licensee Name KAREN H FALCK PA-C
Credential ID 518213
Credential Number CSP.0044803
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 91 Montauk Ave
Stonington
CT 06378-2320
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2008-11-05
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
741845 23.000096 Physician Assistant 1993-08-27 2017-03-01 - 2018-02-28 INACTIVE

Office Location

Street Address 91 MONTAUK AVE
City STONINGTON
State CT
Zip Code 06378-2320

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Susan M Verhoeff 45 Montauk Ave, Stonington, CT 06378-2320 Registered Nurse 2014-12-01 ~ 2015-11-30
Karen Mclaughlin Memorial Fund 43 Montauk Ave, Stonington, CT 06378-2320 Public Charity-exempt From Financial Requirements ~

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Competitor

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City STONINGTON
Zip Code 06378
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STONINGTON

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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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