JUSTIN A CROSS MD (Credential# 171313) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.
JUSTIN A CROSS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024141. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is Po Box 362, Kedrsavge, NH 03847. The current status is inactive.
| Licensee Name | JUSTIN A CROSS MD |
| Credential ID | 171313 |
| Credential Number | CSP.0024141 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 362 Kedrsavge NH 03847 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1997-03-01 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552412 | 1.034816 | Physician/Surgeon | 1995-09-01 | 1996-12-23 - 1997-12-31 | INACTIVE |
| Street Address | PO BOX 362 |
| City | KEDRSAVGE |
| State | NH |
| Zip Code | 03847 |
| City | KEDRSAVGE |
| Zip Code | 03847 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KEDRSAVGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin J Cohen | 835 Mix Ave, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2004-09-10 ~ 2006-02-28 |
| Justin R Valentine | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Justin O Schechter | 22 Fifth Street, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Charlene O Justin | 100 Church St S, New Haven, CT 06519-1703 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justin Da Graca | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2009-03-12 ~ 2011-02-28 |
| Justin C Ngene Md | 106 W Seeboth St, Milwaukee, WI 53204 | Controlled Substance Registration for Practitioner | 2015-03-06 ~ 2017-02-28 |
| Justin Gauthier | 176 Shewville Rd, Mystic, CT 06355-1210 | Controlled Substance Registration for Practitioner | ~ |
| Justin T Hunt | 69 Silo Way, Bloomfield, TX 76502 | Controlled Substance Registration for Practitioner | 2013-07-23 ~ 2015-02-28 |
| Justin K. Dixon | 225 W Park Ave, New Haven, CT 06511-2945 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Justin M Rucci | 60 Park Ave, Hamden, CT 06517-1840 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on JUSTIN A CROSS MD.
| 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).