PATRICK K. DOUGHERTY (Credential# 952404) 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.
PATRICK K. DOUGHERTY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048910. 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 4815 Westgrove Dr Apt 302, Addison, TX 75001-6115. The current status is inactive.
| Licensee Name | PATRICK K. DOUGHERTY |
| Credential ID | 952404 |
| Credential Number | CSP.0048910 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4815 Westgrove Dr Apt 302 Addison TX 75001-6115 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-09-10 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 921861 | 23.002400 | Physician Assistant | 2010-04-14 | 2012-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 4815 WESTGROVE DR APT 302 |
| City | ADDISON |
| State | TX |
| Zip Code | 75001-6115 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| St. Elmo Apts Lp, LLC | 4901 Keller Springs Road, Addison, TX 75001 | Securities - Exemptions | 2020-06-17 ~ |
| Victor Lissiak Jr | 4205 Beltway Drive, Addison, TX 75001 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Eric Andrew Gustafson | 15800 Midway Rd, Addison, TX 75001 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Mark Lowell Yelderman | 15800 Midway Rd., Addison, TX 75001 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Partnership With Native Americans · F/k/a National Relief Charities | 16415 Addison Road, Addison, TX 75001 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Rosemary Nordone Holt | 14700 Marsh Lane #322, Addison, TX 75001 | Professional Counselor | 2019-08-01 ~ 2020-08-31 |
| Health Edge Infusion Therapeutics | 15800 Dooley Rd #120, Addison, TX 75001 | Nonresident Pharmacy | 2009-09-01 ~ 2010-08-31 |
| Michelle Bennett-sciara | 15200 Addison Rd, Addison, TX 75001 | Registered Nurse | 2009-03-19 ~ 2010-05-31 |
| Kevin L Wallace | 15301 Spectrum Drive, Addison, TX 75001 | Architect | 2008-08-01 ~ 2009-07-31 |
| Stephen Michael Daquino | 15800 Midway Rd., Addison, TX 75001 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Find all Licenses in zip 75001 | |||
| City | ADDISON |
| Zip Code | 75001 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ADDISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard A Dougherty | Internal Medicine, Groton, CT 06349 | Controlled Substance Registration for Practitioner | 1993-11-15 ~ 1995-06-01 |
| Anthony J Dougherty Md | 34 Jillian Circle, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Patrick Koo | 22 Church Ter, Newington, CT 06111-5550 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Patrick K Fox | 168 Fairview Rd, Westbrook, CT 06498 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Patrick Brew | Po Box 266, Bridgewater, CT 06752-0266 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick J Duffy | 16 Still Meadow Ln, Somers, CT 06071-2134 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Patrick J Troy Md | 85 Seymour St Ste 923, Hartford, CT 06106-5529 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick A Kenney | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick M Rocco Md | 279 New Britain Rd Ste 10, Kensington, CT 06037-3165 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick M O'beirne | 314 E Spencer Ln, Galloway, NJ 08205-3256 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on PATRICK K. DOUGHERTY.
| 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).