MARTHA WEGNER MOHR
Controlled Substance Registration for Practitioner


Address: 67 Winter St, North Adams, MA 01247-4231

MARTHA WEGNER MOHR (Credential# 1401283) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 2, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

MARTHA WEGNER MOHR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064720. The credential type is controlled substance registration for practitioner. The effective date is March 2, 2017. The expiration date is February 28, 2019. The business address is 67 Winter St, North Adams, MA 01247-4231. The current status is lapsed.

Basic Information

Licensee Name MARTHA WEGNER MOHR
Credential ID 1401283
Credential Number CSP.0064720
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 67 Winter St
North Adams
MA 01247-4231
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2017-03-02
Effective Date 2017-03-02
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1394648 23.003795 Physician Assistant 2017-03-01 2017-03-01 - 2018-03-31 INACTIVE

Office Location

Street Address 67 WINTER ST
City NORTH ADAMS
State MA
Zip Code 01247-4231

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Forist A. Mclain 35 Whitman Street, North Adams, MA 01247 Crane Operator 2000-03-13 ~ 2002-03-12
Bimal R Patel North Adams Regional Hosital, North Adams, MA 01247 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
David L Johnson 29 Owens Avenue, North Adams, MA 01247 Nursing Home Administrator 2011-02-01 ~ 2013-01-31
Michael Towler 432 Church Street, North Adams, MA 01247 Backflow Prevention Device Tester 2004-10-01 ~ 2007-09-30
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Competitor

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City NORTH ADAMS
Zip Code 01247
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH ADAMS

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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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