RUTH G KING MD (Credential# 162806) 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.
RUTH G KING MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023774. 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 Po Box 202, Gwynedd Valley, PA 19437-0202. The current status is active.
Licensee Name | RUTH G KING MD |
Credential ID | 162806 |
Credential Number | CSP.0023774 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
Po Box 202 Gwynedd Valley PA 19437-0202 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-03-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-31 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
552479 | 1.034884 | Physician/Surgeon | 1995-09-29 | 2019-10-01 - 2020-09-30 | ACTIVE |
Street Address | PO BOX 202 |
City | GWYNEDD VALLEY |
State | PA |
Zip Code | 19437-0202 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
George G Brackin | 920 Lorien Drive, Box 279, Gwynedd Valley, PA 19437 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Phillip Brackin | 805 Evans Road, Gwynedd Valley, PA 19437 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Annette M Hansen | Po Box 594, Gwynedd Valley, PA 19437 | Registered Nurse | 1992-03-24 ~ 1993-01-31 |
Bruce E Brooks | Po Box 486, Gwynedd Valley, PA 19437-0486 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
City | GWYNEDD VALLEY |
Zip Code | 19437 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GWYNEDD VALLEY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joy E Byrne | 8 Ruth St, Trumbull, CT 06611-3730 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ruth Wangondu | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ruth Boadu | 25 Taylor St Apt 11, Stamford, CT 06902-5758 | Controlled Substance Registration for Practitioner | 2015-08-26 ~ 2017-02-28 |
Susan Cary | 12 Ruth Dr, Wilbraham, MA 01095-2610 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Ruth H Pinon Dds | 250 Northampton St, Easthampton, MA 01027 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
Ruth A Zamora | 1 Evergreen Trl, Farmington, CT 06032-2142 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Ruth D Blum | 235 Townhouse, Hershey, PA 17033-2324 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ruth M Lawn | 169 Middle St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Ruth A Loomis Md | 43 Enterprise Dr, Bristol, CT 06010-7457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ruth Hogan Pa | 89 Beverly Drive, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
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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).