TAMTA CHKHIKVADZE
Controlled Substance Registration for Practitioner


Address: 127 Saint Marks Pl, Apt 1, Brooklyn, NY 11217

TAMTA CHKHIKVADZE (Credential# 1369909) 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

TAMTA CHKHIKVADZE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063677. 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 127 Saint Marks Pl, Apt 1, Brooklyn, NY 11217. The current status is active.

Basic Information

Licensee Name TAMTA CHKHIKVADZE
Credential ID 1369909
Credential Number CSP.0063677
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 127 Saint Marks Pl, Apt 1
Brooklyn
NY 11217
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-08-03
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
1467427 1.057272 Physician/Surgeon 2018-01-02 2020-02-01 - 2021-01-31 ACTIVE
1489228 1.058474-RES Resident Physician 2017-07-01 2017-07-01 - 2018-06-30 INACTIVE

Office Location

Street Address 127 Saint Marks Pl, Apt 1
City Brooklyn
State NY
Zip Code 11217

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Competitor

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City Brooklyn
Zip Code 11217
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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