HENRY J GRYCZ MD
Controlled Substance Registration for Practitioner


Address: 432 Maple Ave, Cheshire, CT 06410

HENRY J GRYCZ MD (Credential# 150425) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is RETIRED.

Business Overview

HENRY J GRYCZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0005200. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 432 Maple Ave, Cheshire, CT 06410. The current status is retired.

Basic Information

Licensee Name HENRY J GRYCZ MD
Credential ID 150425
Credential Number CSP.0005200
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 432 Maple Ave
Cheshire
CT 06410
Business Type INDIVIDUAL
Status RETIRED
Active 1
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2015-04-10

Other licenses

ID Credential Code Credential Type Issue Term Status
539786 1.010725 Physician/Surgeon 1962-06-12 2013-04-01 - 2014-03-31 INACTIVE

Office Location

Street Address 432 MAPLE AVE
City CHESHIRE
State CT
Zip Code 06410

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Competitor

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City CHESHIRE
Zip Code 06410
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESHIRE

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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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