DAVID H GELLIS
Controlled Substance Registration for Practitioner


Address: 101 Tremont St Fl 6, Boston, MA 02108-5004

DAVID H GELLIS (Credential# 1465023) 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

DAVID H GELLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067209. 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 101 Tremont St Fl 6, Boston, MA 02108-5004. The current status is active.

Basic Information

Licensee Name DAVID H GELLIS
Credential ID 1465023
Credential Number CSP.0067209
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 101 Tremont St Fl 6
Boston
MA 02108-5004
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-12-08
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-10

Other licenses

ID Credential Code Credential Type Issue Term Status
1286599 1.054843 Physician/Surgeon 2016-01-04 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 101 TREMONT ST FL 6
City BOSTON
State MA
Zip Code 02108-5004

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Competitor

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City BOSTON
Zip Code 02108
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BOSTON

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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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