KAREN EIGEN (Credential# 1617351) 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.
KAREN EIGEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069918. 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 355 Maple St, Haworth, NJ 07641-1125. The current status is inactive.
| Licensee Name | KAREN EIGEN |
| Credential ID | 1617351 |
| Credential Number | CSP.0069918 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
355 Maple St Haworth NJ 07641-1125 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2018-11-29 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1595374 | 1.062124 | Physician/Surgeon | 2018-11-27 | 2018-11-27 - 2019-11-30 | INACTIVE |
| Street Address | 355 MAPLE ST |
| City | HAWORTH |
| State | NJ |
| Zip Code | 07641-1125 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas F Cusanelli | 143 Terrace St, Haworth, NJ 07641 | Architect | 2020-08-01 ~ 2021-07-31 |
| James Napoli | 436 Contant Avenue, Haworth, NJ 07641 | Professional Engineer | 2020-05-14 ~ 2021-01-31 |
| Calisto J Bertin | 46 Sunset Court, Haworth, NJ 07641 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Donna A Fabiano | 43 Jackson Avenue, Haworth, NJ 07641 | Notary Public Appointment | 2000-04-17 ~ 2005-04-30 |
| Gregory T Lawn | 575 Mcculloch Place, Haworth, NJ 07641 | Certified Public Accountant Certificate | ~ |
| Jeff Chin | 125 Owatonna Street, Haworth, NJ 07641 | Certified Public Accountant License | 2006-01-01 ~ 2006-12-31 |
| Matthew P Clark | 147 Beacon St, Haworth, NJ 07641 | Chiropractor | 2000-02-21 ~ 2000-11-30 |
| Alberta T Heller | 385 Valley Rd, Haworth, NJ 07641 | Dental Hygienist | 1993-05-25 ~ 1994-06-30 |
| Austin C Hill | 253 Franklin St, Haworth, NJ 07641 | Psychologist | 2000-12-26 ~ 2001-09-30 |
| Charles A Herbstman | 572 Haworth Ave, Haworth, NJ 07641 | Physician/surgeon | 2003-01-02 ~ 2003-12-31 |
| Find all Licenses in zip 07641 | |||
| City | HAWORTH |
| Zip Code | 07641 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAWORTH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keith Vom Eigen Md | 131 Coventry St, Hartford, CT 06112 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karen M Tie | 215 N Market St Apt 317, Wilmington, DE 19801-2563 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karen Casper Md | 846 Lawn St, Roxbury, MA 02120 | Controlled Substance Registration for Practitioner | 1998-06-11 ~ 1999-02-28 |
| Karen M Soika | 23 Nicholas Ave, Greenwich, CT 06831-4923 | Controlled Substance Registration for Practitioner | 2019-03-18 ~ 2021-02-28 |
| Karen Benoit | 7 Doherty Dr, Wallingford, CT 06492-2689 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karen Rhee | 780 Litchfield St, Torrington, CT 06790-6268 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Disha Makanji | 45 Karen Dr, Norwalk, CT 06851-6013 | Controlled Substance Registration for Practitioner | 2019-10-22 ~ 2021-02-28 |
| Karen Y Mechanic Md | 81 Kenwood Ave, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Karen H Henault | 182 High St, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Karen Morgan | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2011-03-16 ~ 2013-02-28 |
Please comment or provide details below to improve the information on KAREN EIGEN.
| 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).