LEWIS KOHL DO
Controlled Substance Registration for Practitioner


Address: 279 Hawley Rd, North Salem, NY 10560-2603

LEWIS KOHL DO (Credential# 1033055) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

LEWIS KOHL DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051374. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 279 Hawley Rd, North Salem, NY 10560-2603. The current status is active.

Basic Information

Licensee Name LEWIS KOHL DO
Credential ID 1033055
Credential Number CSP.0051374
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 279 Hawley Rd
North Salem
NY 10560-2603
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-09-14
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-13

Other licenses

ID Credential Code Credential Type Issue Term Status
992174 1.050170-DO Physician/Surgeon 2011-08-01 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address 279 HAWLEY RD
City NORTH SALEM
State NY
Zip Code 10560-2603

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Competitor

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City NORTH SALEM
Zip Code 10560
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH SALEM

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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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