KRISTEN L NEUHARTH MD
Controlled Substance Registration for Practitioner


Address: 31 Stags Trail, Tolland, CT 06084

KRISTEN L NEUHARTH MD (Credential# 374886) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

KRISTEN L NEUHARTH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035265. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 31 Stags Trail, Tolland, CT 06084. The current status is inactive.

Basic Information

Licensee Name KRISTEN L NEUHARTH MD
Credential ID 374886
Credential Number CSP.0035265
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 31 Stags Trail
Tolland
CT 06084
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-07-01
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
560039 1.042457 Physician/Surgeon 2004-05-20 2012-11-01 - 2013-10-31 INACTIVE

Office Location

Street Address 31 STAGS TRAIL
City TOLLAND
State CT
Zip Code 06084

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Keri A Johnson 224 Buff Cap Rd, Tolland, CT 06084 Registered Nurse 2020-07-01 ~ 2021-06-30
Clifford Vernor Dunn, IIi 44 Birch Hill Dr., Tolland, CT 06084 Physician/surgeon 2020-07-01 ~ 2021-06-30
Aimee Wendy Johnson 175 South River Rd, Tolland, CT 06084 Registered Nurse 2020-07-01 ~ 2021-06-30
Peter D Staiger Md David E. Palozej Eyecare Associates, Tolland, CT 06084 Physician/surgeon 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City TOLLAND
Zip Code 06084
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TOLLAND

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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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