JUSTIN HOLDER (Credential# 1491316) 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.
JUSTIN HOLDER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067435. 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 201 East 80th Street, New York, NY 10075. The current status is active.
| Licensee Name | JUSTIN HOLDER |
| Credential ID | 1491316 |
| Credential Number | CSP.0067435 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
201 East 80th Street New York NY 10075 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-26 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1469421 | 1.061501 | Physician/Surgeon | 2018-06-26 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 201 east 80th street |
| City | New York |
| State | NY |
| Zip Code | 10075 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| I Rand Rodgers Md | 229 East 79th St, New York City, NY 10075 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Li C Pei | 151 East 79th St, New York, NY 10075 | Architect | 2020-05-07 ~ 2020-07-31 |
| Laure C Aubuchon | 325 East 79th Street, New York, NY 10075 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Alexandra Zavin | 539 E 78th St #6i, New York, NY 10075 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Timothy Godaire | 509 E 77th Street Apt 6m, New York, NY 10075 | Home Improvement Salesperson | 2020-03-09 ~ 2020-11-30 |
| Emil K Heringer | 511 East 80th St, New York, NY 10075 | Optometrist | 2020-01-01 ~ 2020-12-31 |
| Norman Maurice Rowe | 71 East 77th Street, Suite 1a, New York, NY 10075 | Physician/surgeon | 2020-02-29 ~ 2021-02-28 |
| Wendee K Schildhaus | 124 East 79th Street, New York, NY 10075 | Marital and Family Therapist | 2020-04-01 ~ 2021-03-31 |
| Chien C Pei | 225 East 79th St, New York, NY 10075 | Architect | 2020-01-28 ~ 2018-07-31 |
| David R Ortiz | 445 East 77th Street, New York, NY 10075 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 10075 | |||
| City | New York |
| Zip Code | 10075 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New York |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah A Holder | 1 Northwestern Dr, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 1995-11-02 ~ 1997-02-28 |
| Hadrian Holder | 100 Oxford Dr Apt 916, Monroeville, PA 15146-2369 | Controlled Substance Registration for Practitioner | 2019-11-04 ~ 2021-02-28 |
| Jaime A Holder Pa-c | 16 Peter Green Rd, Tolland, CT 06084-2406 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gordon O Holder | 971 Marshall Phelps Rd, Windsor, CT 06095-2163 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric K Holder | 380 Mother St Apt #3402, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan L Holder Md | 311 North Street, White Plains, NY 10605 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Justin A Cross Md | Po Box 362, Kedrsavge, NH 03847 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Justin J Cohen | 835 Mix Ave, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2004-09-10 ~ 2006-02-28 |
| Justin S Leas | 98 Hoyt St Apt 4d, Stamford, CT 06905-5777 | Controlled Substance Registration for Practitioner | 2019-08-22 ~ 2021-02-28 |
| Justin C Ngene Md | 106 W Seeboth St, Milwaukee, WI 53204 | Controlled Substance Registration for Practitioner | 2015-03-06 ~ 2017-02-28 |
Please comment or provide details below to improve the information on JUSTIN HOLDER.
| 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).