KETHIA ELIEZER
Controlled Substance Registration for Practitioner


Address: 225 E 138th St Apt 507, Bronx, NY 10451-1906

KETHIA ELIEZER (Credential# 2058970) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 24, 2020. The license expiration date date is February 28, 2021. The license status is APPROVED.

Business Overview

KETHIA ELIEZER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074675. The credential type is controlled substance registration for practitioner. The effective date is June 24, 2020. The expiration date is February 28, 2021. The business address is 225 E 138th St Apt 507, Bronx, NY 10451-1906. The current status is approved.

Basic Information

Licensee Name KETHIA ELIEZER
Credential ID 2058970
Credential Number CSP.0074675
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 225 E 138th St Apt 507
Bronx
NY 10451-1906
Business Type INDIVIDUAL
Status APPROVED - CURRENT
Active 1
Issue Date 2020-06-24
Effective Date 2020-06-24
Expiration Date 2021-02-28
Refresh Date 2020-06-24

Other licenses

ID Credential Code Credential Type Issue Term Status
2032661 CSP.0073446 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2020-06-24 2020-06-24 - 2021-02-28 APPROVED
2012314 1.066311 Physician/Surgeon 2020-06-24 2020-06-24 - 2020-08-31 ACTIVE
2032662 CSP.0073447 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER - CLOSED

Office Location

Street Address 225 E 138TH ST APT 507
City BRONX
State NY
Zip Code 10451-1906

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Competitor

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City BRONX
Zip Code 10451
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRONX

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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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