KATIA GUGUCHEVA MD
Controlled Substance Registration for Practitioner


Address: 268 Babbitt Road, Bedford Hills, NY 10507

KATIA GUGUCHEVA MD (Credential# 217588) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.

Business Overview

KATIA GUGUCHEVA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028541. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2000. The expiration date is February 28, 2001. The business address is 268 Babbitt Road, Bedford Hills, NY 10507. The current status is inactive.

Basic Information

Licensee Name KATIA GUGUCHEVA MD
Credential ID 217588
Credential Number CSP.0028541
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 268 Babbitt Road
Bedford Hills
NY 10507
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Effective Date 2000-02-29
Expiration Date 2001-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
555126 1.037536 Physician/Surgeon 1999-02-26 1999-07-12 - 2000-07-31 INACTIVE

Office Location

Street Address 268 BABBITT ROAD
City BEDFORD HILLS
State NY
Zip Code 10507

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David Alan Rosenberg 52 Narrows Road, Bedford Hills, NY 10507 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
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Elizabeth L Kilgallon 121 Buxton Road, Bedford Hills, NY 10507 Veterinarian 2020-08-01 ~ 2021-07-31
Joseph Giardina 364 Adams St, Bedford Hills, NY 10507 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Yvonne M Diblasio 40 Crescent Tr, Bedford Hills, NY 10507 Registered Nurse 2020-06-01 ~ 2021-05-31
Daniel H Ginnel 493 Bedford Center Rd, Bedford Hills, NY 10507 Real Estate Broker 2020-04-01 ~ 2021-03-31
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Competitor

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City BEDFORD HILLS
Zip Code 10507
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BEDFORD HILLS

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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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