LORETTA EMENIKE MD
Controlled Substance Registration for Practitioner


Address: 112 Roaring Brook Rd, Chappaqua, NY 10514-1707

LORETTA EMENIKE MD (Credential# 979612) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 8, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

LORETTA EMENIKE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049479. The credential type is controlled substance registration for practitioner. The effective date is February 8, 2011. The expiration date is February 28, 2013. The business address is 112 Roaring Brook Rd, Chappaqua, NY 10514-1707. The current status is inactive.

Basic Information

Licensee Name LORETTA EMENIKE MD
Credential ID 979612
Credential Number CSP.0049479
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 112 Roaring Brook Rd
Chappaqua
NY 10514-1707
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-02-08
Effective Date 2011-02-08
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
979555 1.049490 Physician/Surgeon 2011-02-08 2011-07-01 - 2012-06-30 INACTIVE

Office Location

Street Address 112 ROARING BROOK RD
City CHAPPAQUA
State NY
Zip Code 10514-1707

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City CHAPPAQUA
Zip Code 10514
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHAPPAQUA

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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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