ADEDOYIN G. AKINTIDE
Controlled Substance Registration for Practitioner


Address: 120-01 Riviera Ct Apt 15b, College Point, NY 11356-1108

ADEDOYIN G. AKINTIDE (Credential# 1064594) 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

ADEDOYIN G. AKINTIDE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052212. 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 120-01 Riviera Ct Apt 15b, College Point, NY 11356-1108. The current status is inactive.

Basic Information

Licensee Name ADEDOYIN G. AKINTIDE
Credential ID 1064594
Credential Number CSP.0052212
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 120-01 Riviera Ct Apt 15b
College Point
NY 11356-1108
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-04-30
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
1051344 1.050795 Physician/Surgeon 2012-04-16 2013-02-01 - 2014-01-31 INACTIVE

Office Location

Street Address 120-01 RIVIERA CT APT 15B
City COLLEGE POINT
State NY
Zip Code 11356-1108

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City COLLEGE POINT
Zip Code 11356
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COLLEGE POINT

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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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