MATHEW R. WILLIAMS
Controlled Substance Registration for Practitioner


Address: 174 W 76th St Apt 8g, New York, NY 10023-8407

MATHEW R. WILLIAMS (Credential# 1185056) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 10, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

MATHEW R. WILLIAMS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056128. The credential type is controlled substance registration for practitioner. The effective date is April 10, 2015. The expiration date is February 28, 2017. The business address is 174 W 76th St Apt 8g, New York, NY 10023-8407. The current status is inactive.

Basic Information

Licensee Name MATHEW R. WILLIAMS
Credential ID 1185056
Credential Number CSP.0056128
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 174 W 76th St Apt 8g
New York
NY 10023-8407
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-09-17
Effective Date 2015-04-10
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1149880 1.052371 Physician/Surgeon 2013-09-03 2015-10-01 - 2016-09-30 INACTIVE

Office Location

Street Address 174 W 76TH ST APT 8G
City NEW YORK
State NY
Zip Code 10023-8407

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City NEW YORK
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License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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