SVETLANA FISH
Controlled Substance Registration for Practitioner


Address: 2161 East 72 Street, Brooklyn, NY 11234

SVETLANA FISH (Credential# 162791) 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

SVETLANA FISH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023757. 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 2161 East 72 Street, Brooklyn, NY 11234. The current status is active.

Basic Information

Licensee Name SVETLANA FISH
Credential ID 162791
Credential Number CSP.0023757
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2161 East 72 Street
Brooklyn
NY 11234
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-15

Other licenses

ID Credential Code Credential Type Issue Term Status
552488 1.034893 Physician/Surgeon 1995-09-29 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address 2161 EAST 72 STREET
City BROOKLYN
State NY
Zip Code 11234

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Competitor

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City BROOKLYN
Zip Code 11234
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLYN

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Guy L Fish Md St. Mary's Hospital, Waterbury, CT 06702 Controlled Substance Registration for Practitioner 1997-03-01 ~ 1998-02-28
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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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