PAUL KOORS
Controlled Substance Registration for Practitioner


Address: 191 Barbour Street, Orange, VA 22960

PAUL KOORS (Credential# 1531181) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 18, 2018. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

PAUL KOORS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069112. The credential type is controlled substance registration for practitioner. The effective date is July 18, 2018. The expiration date is February 28, 2019. The business address is 191 Barbour Street, Orange, VA 22960. The current status is lapsed.

Basic Information

Licensee Name PAUL KOORS
Credential ID 1531181
Credential Number CSP.0069112
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 191 Barbour Street
Orange
VA 22960
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2018-07-18
Effective Date 2018-07-18
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1513593 1.061446 Physician/Surgeon 2018-06-23 2018-06-23 - 2018-12-31 INACTIVE

Office Location

Street Address 191 Barbour Street
City Orange
State VA
Zip Code 22960

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Linda A Sotzing 13282 Harbor Drive, Orange, VA 22960 Registered Nurse 2010-10-01 ~ 2011-09-30
Grant A Wish Network Inc. 16335 Coxmill Road, Orange, VA 22960 Public Charity ~
Beverly D Cecire Rd #1, Orange, VA 22960 Registered Nurse 1999-11-12 ~ 2000-10-31

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Competitor

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City Orange
Zip Code 22960
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Orange

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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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