MEREDITH CORSON (Credential# 1513383) 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 INACTIVE.
MEREDITH CORSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068005. 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 389 Merrick Ave, Merrick, NY 11566-2723. The current status is inactive.
| Licensee Name | MEREDITH CORSON |
| Credential ID | 1513383 |
| Credential Number | CSP.0068005 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
389 Merrick Ave Merrick NY 11566-2723 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2018-05-14 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1494749 | 1.060512-DO | Physician/Surgeon | 2018-05-02 | 2018-05-02 - 2019-05-31 | INACTIVE |
| Street Address | 389 MERRICK AVE |
| City | MERRICK |
| State | NY |
| Zip Code | 11566-2723 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon Henning | 34 Cliff Road, Merrick, NY 11566 | Physician/surgeon | ~ |
| Marla Sue Sheflin | 2867 Beach Drive, Merrick, NY 11566 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Leobiury Garcia | 1934 Edward Lane, Merrick, NY 11566 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Bruce J Diamond | 1810 Relyea Drive, Merrick, NY 11566 | Tax Preparer/facilitator Permit | 2020-02-08 ~ 2022-02-28 |
| Brian M Rohan | 158 Loines Ave, Merrick, NY 11566 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Imtiaz Mulla | 90 Frankel Blvd, Merrick, NY 11566 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Mitzi Nadeige Dort | 1828 Remson Avenue, Merrick, NY 11566 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Brian T O'donnell | 1785 Carlisle Pl, Merrick, NY 11566 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Alberto Lopez | 1643 Demott Court, North Merrick, NY 11566 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Gina Marie Bayne | 2124 Burke Place, Merrick, NY 11566 | Notary Public Appointment | 2009-09-25 ~ 2014-09-30 |
| Find all Licenses in zip 11566 | |||
| City | MERRICK |
| Zip Code | 11566 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MERRICK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lin Corson | 51 Schuyler Ave Apt 4a, Stamford, CT 06902-3716 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Meredith P Re Dvm | 18 Raymond Hts, Darien, CT 06820-4920 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meredith A Bailey | 726 New Haven Rd, Durham, CT 06422-2408 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meredith A Brown | 207 W Park Ave, New Haven, CT 06511-2945 | Controlled Substance Registration for Practitioner | 2011-04-18 ~ 2013-02-28 |
| Meredith Faggen | 125 Prospect St #12, Providence, RI 02906 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Meredith G Haley | 24 Fairview St, Hingham, MA 02043-4722 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meredith A Mckenna | 95 S Ridge Ln # G-201, Berlin, CT 06037-5005 | Controlled Substance Registration for Practitioner | 2019-11-13 ~ 2021-02-28 |
| Meredith Tucker Md | Po Box 3161, Redmond, WA 98073-3161 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Meredith L Young | 78 Wildcat Rd, Madison, CT 06443-2417 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meredith K Clark | 137 West Rd, Collinsville, CT 06019-3742 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MEREDITH CORSON.
| 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).