MAGDALENA U. GORALCZYK
Controlled Substance Registration for Practitioner


Address: 201 50th Ave Apt P3c, Long Island City, NY 11101-5824

MAGDALENA U. GORALCZYK (Credential# 1043741) 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

MAGDALENA U. GORALCZYK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051778. 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 201 50th Ave Apt P3c, Long Island City, NY 11101-5824. The current status is inactive.

Basic Information

Licensee Name MAGDALENA U. GORALCZYK
Credential ID 1043741
Credential Number CSP.0051778
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 201 50th Ave Apt P3c
Long Island City
NY 11101-5824
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-12-09
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1040539 2.010675 Dentist 2011-11-17 2013-07-01 - 2014-06-30 INACTIVE

Office Location

Street Address 201 50TH AVE APT P3C
City LONG ISLAND CITY
State NY
Zip Code 11101-5824

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City LONG ISLAND CITY
Zip Code 11101
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONG ISLAND CITY

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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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