MARK A KOSSICK APRN
Controlled Substance Registration for Practitioner


Address: 62 Greenwells Glory Dr, Biltmore Lake, NC 28715-8901

MARK A KOSSICK APRN (Credential# 910396) 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

MARK A KOSSICK APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047146. 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 62 Greenwells Glory Dr, Biltmore Lake, NC 28715-8901. The current status is inactive.

Basic Information

Licensee Name MARK A KOSSICK APRN
Credential ID 910396
Credential Number CSP.0047146
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 62 Greenwells Glory Dr
Biltmore Lake
NC 28715-8901
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-02-22
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
910052 12.004326 Advanced Practice Registered Nurse 2010-02-22 2010-10-01 - 2011-09-30 INACTIVE
910119 10.092682 Registered Nurse 2010-02-22 2010-10-01 - 2011-09-30 INACTIVE
910140 10.092131-TEMP Registered Nurse - Temporary 2010-01-07 2010-01-07 - 2010-05-07 INACTIVE

Office Location

Street Address 62 GREENWELLS GLORY DR
City BILTMORE LAKE
State NC
Zip Code 28715-8901

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Susan Adele Kain 44 Boones Farm Rd, Candler, NC 28715-8532 Registered Nurse 2017-06-05 ~ 2018-04-30
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Juliette L Dombkowski 2 Metas Ln, Candler, NC 28715-8876 Massage Therapist 2014-09-01 ~ 2016-08-31
Saara G Masten 22 Grove Garden Ave, Candler, NC 28715-8902 Registered Nurse 2014-11-01 ~ 2015-10-31
Adam Davis Monroe 34 Gossett Rd, Candler, NC 28715-9012 Registered Nurse 2019-01-07 ~ 2019-11-30
Cristi R Yoder 34 Gossett Rd, Candler, NC 28715-9012 Registered Nurse 2019-01-04 ~ 2019-08-31
Allen B Davidson 34 Long Cove Rd, Candler, NC 28715-9266 Elevator Limited Conveyor Journeyperson 2019-09-01 ~ 2020-08-31
Candice L Boehm 11 Candice Ct, Candler, NC 28715-9520 Registered Nurse ~ 2002-12-31
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Competitor

Search similar business entities

City BILTMORE LAKE
Zip Code 28715
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BILTMORE LAKE

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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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