LAWRENCE D BUB MD (Credential# 481750) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
LAWRENCE D BUB MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042579. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 601 Front Ave #400, Coeur D Alene, ID 83814. The current status is inactive.
| Licensee Name | LAWRENCE D BUB MD |
| Credential ID | 481750 |
| Credential Number | CSP.0042579 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
601 Front Ave #400 Coeur D Alene ID 83814 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2007-09-12 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| Street Address | 601 Front Ave #400 |
| City | Coeur d Alene |
| State | ID |
| Zip Code | 83814 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David D Burdette Md | 601 Front Ave #400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dhawal A Goradia | 1839 N. Government Way, Coeur D'alene, ID 83814 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Cody Lee Ray | 1387 Kaleigh Ct, Coeur D'alene, ID 83814 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Thomas B Jones Md | 601 Front Ave., #502, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Christopher J Miller Md | 601 Front Avenue, Suite 400, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| David G Drake | C/o Nighthawk Radiology Services, Coeur D'alene, ID 83814 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Robin Prasad Md | 250 Northwest Blvd #202, Coeur D Alene, ID 83814 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Doreen M Seal · Christiansen | 1121 Shorwood Court, Coeur D Alene, ID 83814 | Licensed Practical Nurse | 2003-03-21 ~ 2004-03-31 |
| Howard M Rosner | 1620 Northwest Blvd #202, Coeur D'alene, ID 83814 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Jamlik O Johnson | C/o Nighthawk Radiology Services, Coeur D' Alene, ID 83814 | Physician/surgeon | 2008-01-14 ~ 2009-02-28 |
| Laura Jean Doucette | 212 W Ironwood Dr Ste D-252, Coeur D Alene, ID 83814-1403 | Registered Nurse | 1972-09-08 ~ 1978-05-31 |
| Find all Licenses in zip 83814 | |||
| City | Coeur d Alene |
| Zip Code | 83814 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Coeur d Alene |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lawrence A Williams | 210 1/2 E 5th St Apt 3, Greenville, NC 27858-1847 | Controlled Substance Registration for Practitioner | 2011-07-22 ~ 2013-02-28 |
| Lawrence C Schweitzer | 33 Hospital Ave, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence S Christian Dmd | 625 Hopmeadow St, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence M Milgrim Md | 539 Danbury Rd, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Louis Keehn Md | 35 Margaret Ave, Lawrence, NY 11559 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| James P Lawrence | 297 Gedile St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Lawrence N Atlas | Po Box 1362, Millbrook, NY 12545-1362 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence Delibero Dmd | 115 Technology Dr, Trumbull, CT 06611-6337 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence T. Siew | 100 York St Ste 1f, New Haven, CT 06511-5664 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence H Young | 300 George St, New Haven, CT 06511-6624 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).