CHIEDOZIE IKECHI NWAGWU (Credential# 2000770) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 21, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CHIEDOZIE IKECHI NWAGWU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073042. The credential type is controlled substance registration for practitioner. The effective date is January 21, 2020. The expiration date is February 28, 2021. The business address is 4 Westchester Park Dr Fl 4, White Plains, NY 10604-3434. The current status is active.
| Licensee Name | CHIEDOZIE IKECHI NWAGWU |
| Credential ID | 2000770 |
| Credential Number | CSP.0073042 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4 Westchester Park Dr Fl 4 White Plains NY 10604-3434 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-01-21 |
| Effective Date | 2020-01-21 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1691713 | 1.064623 | Physician/Surgeon | 2019-12-02 | 2019-12-02 - 2020-12-31 | ACTIVE |
| Street Address | 4 WESTCHESTER PARK DR FL 4 |
| City | WHITE PLAINS |
| State | NY |
| Zip Code | 10604-3434 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter D Costantino | 4 Westchester Park Dr Fl 4, White Plains, NY 10604-3434 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Kelsey Ruth Kimble | 4 Westchester Park Dr Fl 4, White Plains, NY 10604-3434 | Registered Nurse | 2020-06-12 ~ 2021-04-30 |
| Chihiro Shinohara | 4 Westchester Park Dr Fl 4, White Plains, NY 10604-3434 | Physician Assistant | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stefania Maria Perez | 121 Macri Ave, West Harrison, NY 10604 | Registered Nurse | ~ |
| Danielle Piacente | 56 Underhill Avenue, West Harrison, NY 10604 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly Papachristou | 1 Golden Pond Road, West Harrison, NY 10604 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Naixi Li | 83 Park Lane, West Harrison, NY 10604 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lee C Toterhi | 160 Gainsborg Ave E, West Harrison, NY 10604 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emanuel I Wurm Do | Westchester Medical Group PC, White Plains, NY 10604 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Edward G Swaby | 25 Chadwick Rd, White Plains, NY 10604 | Architect | 2018-08-01 ~ 2019-07-31 |
| Christina C Blanco | 210 Westchester Avenue, White Plains, NY 10604 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Caleb K Charny Md | 210 Westchester Ave, White Plains, NY 10604 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Paul C Moloney Jr · Paul C Moloney Inc | 12 High Ridge Road, West Harrison, NY 10604 | Swimming Pool Builder - In Ground | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 10604 | |||
| City | WHITE PLAINS |
| Zip Code | 10604 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WHITE PLAINS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ikechi P Dike | 27 Kibbe St, Hartford, CT 06106-2120 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| 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 |
| Chiedozie A Anoka | 29 Temple St Apt 19, Hartford, CT 06103-1330 | Pharmacy Intern | 2011-09-06 ~ 2014-09-30 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on CHIEDOZIE IKECHI NWAGWU.
| 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).