NORRY LAN MD (Credential# 178430) 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.
NORRY LAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025206. 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 Va Outpatient Clinic, French Camp, CA 95231. The current status is active.
Licensee Name | NORRY LAN MD |
Business Name | INTERNAL MEDICINE ASSOCIATES P C |
Credential ID | 178430 |
Credential Number | CSP.0025206 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
Va Outpatient Clinic French Camp CA 95231 |
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 | 2019-01-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
553373 | 1.035780 | Physician/Surgeon | 1997-01-17 | 2020-01-01 - 2020-12-31 | ACTIVE |
218324 | CSP.0028709 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
Street Address | VA Outpatient Clinic |
City | French Camp |
State | CA |
Zip Code | 95231 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Deborah Stone Mccurry | Po Box 45, French Camp, CA 95231-0045 | Registered Nurse - Temporary | 2013-11-01 ~ 2014-02-28 |
City | French Camp |
Zip Code | 95231 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + French Camp |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Irving Shiffman Md · Internal Medicine Associates, P.C. | 3 Iron Forge, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
John Zesk Md · Internal Medicine Associates, P.C. | Cardiology Assoc of Central Ct LLC, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Harold Wilkes Md · Internal Medicine Associates, P.C. | Cardiology Assoc of Central Ct LLC, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Karen Stone Earls | Internal Medicine Associates of Westport, P.C., Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
John P Hayslett Md · Yale Dept of Internal Medicine | Yale Dept of Internal Medicine, New Haven, CT 06520-8029 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Xianjin Yi Md | Department of Internal Medicine, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Richard A Dougherty | Internal Medicine, Groton, CT 06349 | Controlled Substance Registration for Practitioner | 1993-11-15 ~ 1995-06-01 |
Guru Trikudanathan | Internal Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-03-19 ~ 2013-02-28 |
Evan Marino | Dept Internal Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Khaldoun Abouelhosn | Department of Internal Medicine, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
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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).