GLORIA C COHEN MD
Controlled Substance Registration for Practitioner


Address: 201 Cedar St Se Ste 6600, Albuquerque, NM 87106-5411

GLORIA C COHEN MD (Credential# 312584) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

GLORIA C COHEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032297. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 201 Cedar St Se Ste 6600, Albuquerque, NM 87106-5411. The current status is inactive.

Basic Information

Licensee Name GLORIA C COHEN MD
Credential ID 312584
Credential Number CSP.0032297
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 201 Cedar St Se Ste 6600
Albuquerque
NM 87106-5411
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
557875 1.040292 Physician/Surgeon 2002-04-01 2015-04-01 - 2016-03-31 INACTIVE

Office Location

Street Address 201 CEDAR ST SE STE 6600
City ALBUQUERQUE
State NM
Zip Code 87106-5411

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Competitor

Search similar business entities

City ALBUQUERQUE
Zip Code 87106
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ALBUQUERQUE

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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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