MICHAEL DAVID CORVINI
Controlled Substance Registration for Practitioner


Address: 47 Onderdonk Rd, Warwick, NY 10990-2909

MICHAEL DAVID CORVINI (Credential# 380817) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

MICHAEL DAVID CORVINI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036157. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 47 Onderdonk Rd, Warwick, NY 10990-2909. The current status is inactive.

Basic Information

Licensee Name MICHAEL DAVID CORVINI
Credential ID 380817
Credential Number CSP.0036157
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 47 Onderdonk Rd
Warwick
NY 10990-2909
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2004-09-29
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
560524 1.042942 Physician/Surgeon 2004-11-18 2009-10-07 - 2010-10-31 INACTIVE

Office Location

Street Address 47 ONDERDONK RD
City WARWICK
State NY
Zip Code 10990-2909

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Competitor

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City WARWICK
Zip Code 10990
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WARWICK

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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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