THOMAS MATTHEW GROGAN
Controlled Substance Registration for Practitioner


Address: 109 Rymph Rd, Staatsburg, NY 12580-6351

THOMAS MATTHEW GROGAN (Credential# 1398324) 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

THOMAS MATTHEW GROGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064589. 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 109 Rymph Rd, Staatsburg, NY 12580-6351. The current status is active.

Basic Information

Licensee Name THOMAS MATTHEW GROGAN
Credential ID 1398324
Credential Number CSP.0064589
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 109 Rymph Rd
Staatsburg
NY 12580-6351
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-01-18
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1386438 1.056063 Physician/Surgeon 2017-01-10 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 109 RYMPH RD
City STAATSBURG
State NY
Zip Code 12580-6351

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Competitor

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City STAATSBURG
Zip Code 12580
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAATSBURG

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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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