GABRIEL VILCHEZ
Controlled Substance Registration for Practitioner


Address: 1031 Thomas S Boyland Street, Brooklyn, NY 11212-4749

GABRIEL VILCHEZ (Credential# 1348352) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

GABRIEL VILCHEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062487. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 1031 Thomas S Boyland Street, Brooklyn, NY 11212-4749. The current status is active.

Basic Information

Licensee Name GABRIEL VILCHEZ
Credential ID 1348352
Credential Number CSP.0062487
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1031 Thomas S Boyland Street
Brooklyn
NY 11212-4749
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-07-13
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1675119 1 Physician/Surgeon - PENDING

Office Location

Street Address 1031 Thomas S Boyland Street
City Brooklyn
State NY
Zip Code 11212-4749

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City Brooklyn
Zip Code 11212
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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