CSPCHRISTINA 67246 GERDES (Credential# 1639706) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 20, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
CSPCHRISTINA 67246 GERDES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070481. The credential type is controlled substance registration for practitioner. The effective date is March 20, 2019. The expiration date is February 28, 2021. The business address is 546 Eastern Pkwy, Brooklyn, NY 11225-1604. The current status is inactive.
| Licensee Name | CSPCHRISTINA 67246 GERDES |
| Credential ID | 1639706 |
| Credential Number | CSP.0070481 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
546 Eastern Pkwy Brooklyn NY 11225-1604 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2019-03-20 |
| Effective Date | 2019-03-20 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1621268 | 1.062455 | Physician/Surgeon | 2019-03-15 | 2019-03-15 - 2019-09-30 | INACTIVE |
| Street Address | 546 EASTERN PKWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11225-1604 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nora E. Bobe | 49 Crown Street # 13 L, Brooklyn, NY 11225 | Master's Level Social Worker | 2020-04-01 ~ 2021-03-31 |
| Crystal D Thomas | 80 Winthrop Street, Brooklyn, NY 11225 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Rachel Felicity Blatt | 1035 Washington Ave, Brooklyn, NY 11225 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Margaret Rose Rose-williams | 1185 Carroll Street Apt. 9h, Brooklyn, NY 11225 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Mcfredy Antoine | 100 Lefferts Avenue Apt 5d, Brooklyn, NY 11225 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
| Che L Henry | 1087 Carroll Street, Brooklyn, NY 11225 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Dominique Jean-baptiste | 250 Hawthorne Street, Apt. 4c, Brooklyn, NY 11225 | Master's Level Social Worker | 2019-11-01 ~ 2020-10-31 |
| Angelique M Smith | 49 Crown Street, Brooklyn, NY 11225 | Master's Level Social Worker | 2018-06-01 ~ 2019-05-31 |
| Marie K. K Philogene | 464 Eastern Parkway, Brooklyn, NY 11225 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| David W Varnish | 190 Maple St, Brooklyn, NY 11225 | Architect | 2019-08-01 ~ 2020-07-31 |
| Find all Licenses in zip 11225 | |||
| City | BROOKLYN |
| Zip Code | 11225 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLYN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Amy Blackmer | 518 E 3rd St, Boston, MA 02127 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jia Li | 44 Orange St Apt 814, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on CSPCHRISTINA 67246 GERDES.
| 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).