KEISHA A WARD
Controlled Substance Registration for Practitioner


Address: 54 Barbey St, Brooklyn, NY 11207-2136

KEISHA A WARD (Credential# 1169220) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

KEISHA A WARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054881. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 54 Barbey St, Brooklyn, NY 11207-2136. The current status is inactive.

Basic Information

Licensee Name KEISHA A WARD
Credential ID 1169220
Credential Number CSP.0054881
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 54 Barbey St
Brooklyn
NY 11207-2136
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-06-17
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 54 BARBEY ST
City BROOKLYN
State NY
Zip Code 11207-2136

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Competitor

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City BROOKLYN
Zip Code 11207
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLYN

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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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