CYNTHIA P HORAK MD (Credential# 499608) 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.
CYNTHIA P HORAK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043343. 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 766 Nw 118th Ave Apt 103, Portland, OR 97229-5961. The current status is inactive.
| Licensee Name | CYNTHIA P HORAK MD |
| Credential ID | 499608 |
| Credential Number | CSP.0043343 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
766 Nw 118th Ave Apt 103 Portland OR 97229-5961 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2008-05-15 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564142 | 1.046560 | Physician/Surgeon | 2008-05-23 | 2010-03-01 - 2011-02-28 | INACTIVE |
| 414395 | CSP.0038093 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-09-27 | 2005-09-27 - 2006-02-28 | INACTIVE |
| Street Address | 766 NW 118TH AVE APT 103 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97229-5961 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul C Gilham | 13670 Nw Laidlaw Road, Portland, OR 97229 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Caroline Giorgiana Phippen Roberts | 13563 Nw Payne Dr, Portland, OR 97229 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Thomas D Woodworth | 414 Nw Skyline Blvd, Portland, OR 97229 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Michael M Edwards | 3010 Nw Bauer Woods Dr, Portland, OR 97229 | Interior Designer | 2009-01-01 ~ 2009-12-31 |
| Maritza Martel | 8411 Nw Thompson Rd, Portland, OR 97229 | Physician/surgeon | 2009-05-22 ~ 2010-05-31 |
| James Jensen M.d. | 3114 Nw Spencer St, Portland, OR 97229 | Physician/surgeon | 2004-03-15 ~ 2005-04-30 |
| Theresa M O'hollaren | 8610 Nw Hazeltine Dr, Portland, OR 97229 | Registered Nurse | 1999-05-07 ~ 2000-06-30 |
| Victoria A Edwards | 10937 No. West Appellate Way, Portland, OR 97229 | Speech and Language Pathologist | 2001-07-25 ~ 2002-04-30 |
| Donald M Kelly | 3669 Nw 123rd Place, Portland, OR 97229 | Pharmacist | 1998-02-01 ~ 1999-01-31 |
| Carlo Bifulco | 8411 Nw Thompson Rd, Portland, OR 97229 | Physician/surgeon | 2009-05-22 ~ 2010-05-31 |
| Find all Licenses in zip 97229 | |||
| City | PORTLAND |
| Zip Code | 97229 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PORTLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Brassil Horak | 77 Cherryfield Dr, West Hartford, CT 06107-3312 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tim Horak LLC | 102 Meyers Dr, Rocky Hill, CT 06067-2647 | Home Improvement Contractor | 2020-03-19 ~ 2020-11-30 |
| Cynthia Nolletti Md | 3 Field Rd, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 1993-09-09 ~ 1995-10-01 |
| Cynthia Tucker Md | 7 Warwick Ter, Waterford, CT 06385 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cynthia E Alston | 6 Bronson Ter, Springfield, MA 01108-2625 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cynthia I Gentes | 999 Silver Ln, Trumbull, CT 06611-5343 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cynthia C Roque | 160 Robbins St, Waterbury, CT 06708-2652 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Cynthia L Jenson Md | 434 Main St, Waterville, ME 04901-4118 | Controlled Substance Registration for Practitioner | 2008-03-19 ~ 2009-02-28 |
| Cynthia F Mcnamara | 383 Schoolside Ln, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cynthia M Perez | 39 Beachland Ave, Milford, CT 06460-7409 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on CYNTHIA P HORAK MD.
| 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).