ANTONIN REZNICEK
Controlled Substance Registration for Practitioner


Address: 355 Bard Ave Apt 3n, Staten Island, NY 10310-1664

ANTONIN REZNICEK (Credential# 1354143) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 18, 2016. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

ANTONIN REZNICEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062783. The credential type is controlled substance registration for practitioner. The effective date is May 18, 2016. The expiration date is February 28, 2017. The business address is 355 Bard Ave Apt 3n, Staten Island, NY 10310-1664. The current status is inactive.

Basic Information

Licensee Name ANTONIN REZNICEK
Credential ID 1354143
Credential Number CSP.0062783
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 355 Bard Ave Apt 3n
Staten Island
NY 10310-1664
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2016-05-18
Effective Date 2016-05-18
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1343611 1.055241 Physician/Surgeon 2016-05-12 2016-05-12 - 2016-12-31 INACTIVE

Office Location

Street Address 355 BARD AVE APT 3N
City STATEN ISLAND
State NY
Zip Code 10310-1664

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Krishna Potluri 355 Bard Ave, Staten Island, NY 10310-1664 Controlled Substance Registration for Practitioner 2019-06-19 ~ 2021-02-28
Veeranjaneya V Guttikonda 355 Bard Ave, Staten Island, NY 10310-1664 Physician/surgeon 1977-09-01 ~ 1981-07-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Junaid Aslam 511 Delafield Ave, Staten Island, NY 10310 Resident Physician 2020-07-01 ~ 2021-06-30
John B Zunino 684 Oakland Avenue, Staten Island, NY 10310 Professional Engineer 2020-02-01 ~ 2021-01-31
Salman Kazim 355 Bard Avenue, #5q, Staten Island, NY 10310 Physician/surgeon 1995-08-11 ~ 1996-07-31
Thomas E Wallace IIi 616 Bement Ave, Staten Island, NY 10310 Pharmacy Intern 2017-08-22 ~ 2020-09-30
Sandra F Graydon-long 117 Bement Avenue, Staten Island, NY 10310 Master's Level Social Worker 2016-05-01 ~ 2017-04-30
Lars T Ahlman 33 Clove Lake Pl, Staten Island, NY 10310 Professional Engineer 1999-02-01 ~ 2000-01-31
Christopher W Torres 134 Dongan Street, Staten Island, NY 10310 Tv & Radio Limited Dish Antenna Technician 2010-02-18 ~ 2010-08-31
Sudath G Rannulu 355 Bard Avenue, Staten Island, NY 10310 Physician/surgeon 2009-01-13 ~ 2009-12-31
Ralph G Attanasi 821 Clove Road, Staten Island, NY 10310 Dentist 2007-12-24 ~ 2008-12-31
Rene A Mathews 672 Gary Avenue, Staten Island, NY 10310 Lead Abatement Worker 2000-04-21 ~ 2001-06-30
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Competitor

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City STATEN ISLAND
Zip Code 10310
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STATEN ISLAND

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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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