BETHANY M. KAPP MD
Controlled Substance Registration for Practitioner


Address: 5469 Hanover Cir, Cincinnati, OH 45230-1100

BETHANY M. KAPP MD (Credential# 984393) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 14, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

BETHANY M. KAPP MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049627. The credential type is controlled substance registration for practitioner. The effective date is February 14, 2011. The expiration date is February 28, 2013. The business address is 5469 Hanover Cir, Cincinnati, OH 45230-1100. The current status is inactive.

Basic Information

Licensee Name BETHANY M. KAPP MD
Credential ID 984393
Credential Number CSP.0049627
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5469 Hanover Cir
Cincinnati
OH 45230-1100
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-02-14
Effective Date 2011-02-14
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
978893 1.049474 Physician/Surgeon 2011-02-03 2011-02-03 - 2012-02-29 INACTIVE

Office Location

Street Address 5469 HANOVER CIR
City CINCINNATI
State OH
Zip Code 45230-1100

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Competitor

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City CINCINNATI
Zip Code 45230
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CINCINNATI

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Dana L Kapp Dds 227 W 77th St Apt 3b, New York, NY 10024-6694 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
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Michelle A Van Name 22 Acorn Dr, Bethany, CT 06524-3383 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Jian Wu Pa 32 Miller Rd, Bethany, CT 06524 Controlled Substance Registration for Practitioner 2011-04-11 ~ 2013-02-28
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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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