PHINIT PHISITKUL (Credential# 1462326) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 21, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
PHINIT PHISITKUL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067119. The credential type is controlled substance registration for practitioner. The effective date is November 21, 2017. The expiration date is February 28, 2019. The business address is 942 Forest Edge Circle, Coralville, IA 52241. The current status is lapsed.
| Licensee Name | PHINIT PHISITKUL |
| Credential ID | 1462326 |
| Credential Number | CSP.0067119 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
942 Forest Edge Circle Coralville IA 52241 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2017-11-21 |
| Effective Date | 2017-11-21 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1458554 | 1.057191 | Physician/Surgeon | 2017-11-20 | 2018-02-01 - 2019-01-31 | INACTIVE |
| Street Address | 942 FOREST EDGE CIRCLE |
| City | CORALVILLE |
| State | IA |
| Zip Code | 52241 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yogesh Jethava | 705 Creek View Ct, Coralville, IA 52241 | Physician/surgeon | ~ |
| Vet Rx Direct | 1900 James St. Ste 11, Coralville, IA 52241 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Nucara Pharmacy | 1900 James St. Ste 10-b, Coralville, IA 52241 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Jason M Christy | 203 1/2 6th St., Coralville, IA 52241 | Radiographer | 2006-03-03 ~ 2007-04-30 |
| Christopher Lee Sweeney | 2861 Spring Rose Cir Apt 103, Coralville, IA 52241-0030 | Registered Nurse | 2019-03-01 ~ 2020-02-29 |
| Joshua Aydelotte | 2032 9th St Apt 21, Coralville, IA 52241-1599 | Registered Nurse | 2016-09-27 ~ 2017-02-28 |
| Riddhi J Mori | 2894 Coral Ct Apt 303, Coralville, IA 52241-2941 | Physical Therapist | ~ |
| Cheryl Conrad | 2813 Broken Woods Dr, Coralville, IA 52241-3298 | Registered Nurse | 2017-04-06 ~ 2017-12-31 |
| City | CORALVILLE |
| Zip Code | 52241 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CORALVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Ngek S Phinit | 42 Pembroke Rd, Danbury, CT 06811-2956 | Heating, Piping & Cooling Unlimited Journeyperson | 2019-09-02 ~ 2020-08-31 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Sou-pan Wu Md | 216 Mansion Rd, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on PHINIT PHISITKUL.
| 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).