MICHAEL N JOHNSON MD
Controlled Substance Registration for Practitioner


Address: 150 Lockwood Ave, New Rochelle, NY 10801

MICHAEL N JOHNSON MD (Credential# 416982) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 12, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

MICHAEL N JOHNSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038354. The credential type is controlled substance registration for practitioner. The effective date is April 12, 2013. The expiration date is February 28, 2015. The business address is 150 Lockwood Ave, New Rochelle, NY 10801. The current status is inactive.

Basic Information

Licensee Name MICHAEL N JOHNSON MD
Credential ID 416982
Credential Number CSP.0038354
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 150 Lockwood Ave
New Rochelle
NY 10801
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-09-22
Effective Date 2013-04-12
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
561403 1.043821 Physician/Surgeon 2005-09-20 2013-09-01 - 2014-08-31 INACTIVE

Office Location

Street Address 150 LOCKWOOD AVE
City NEW ROCHELLE
State NY
Zip Code 10801

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Competitor

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City NEW ROCHELLE
Zip Code 10801
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW ROCHELLE

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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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