MARK D HAGEDORN
Controlled Substance Registration for Practitioner


Address: Po Box 1147, Waialua, HI 96791-1147

MARK D HAGEDORN (Credential# 143232) 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

MARK D HAGEDORN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0006970. 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 Po Box 1147, Waialua, HI 96791-1147. The current status is active.

Basic Information

Licensee Name MARK D HAGEDORN
Credential ID 143232
Credential Number CSP.0006970
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Po Box 1147
Waialua
HI 96791-1147
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-15

Other licenses

ID Credential Code Credential Type Issue Term Status
543206 1.020000 Physician/Surgeon 1978-01-24 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address PO BOX 1147
City WAIALUA
State HI
Zip Code 96791-1147

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Benjamin A Partyka 67-381 Kukea Cir, Waialua, HI 96791-9520 Physical Therapist 2012-10-04 ~ 2013-09-30

Competitor

Search similar business entities

City WAIALUA
Zip Code 96791
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WAIALUA

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Curtis L Hagedorn Md 92 Livingston St #4, New Haven, CT 06511 Controlled Substance Registration for Practitioner 2005-03-01 ~ 2006-02-28
Caitlin Hagedorn 78 Selden Hill Dr, West Hartford, CT 06107-3125 Controlled Substance Registration for Practitioner 2019-06-21 ~ 2021-02-28
Mark R Cullen Md 22 Lee Way, Madison, CT 06443 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Mark P Goldstein Md 754 E 6th St #5d, New York, NY 10009 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Mark C Lee Md 282 Washington St, Hartford, CT 06106-3322 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Mark W Greve 61 Three Corners Rd, Guilford, CT 06437 Controlled Substance Registration for Practitioner 2005-04-18 ~ 2006-02-28
Mark Mikhitarian 750 Summer St Apt 403, Stamford, CT 06901-1046 Controlled Substance Registration for Practitioner 2017-10-05 ~ 2019-02-28
Mark H Michalski 192 Foster St Apt 23, New Haven, CT 06511-2660 Controlled Substance Registration for Practitioner 2011-08-16 ~ 2013-02-28
Mark Fisherkeller 5 Founders St, Willimantic, CT 06226-2048 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Mark A Colite 33 Meriden Ave, Southington, CT 06489-3214 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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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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