JEREMIE R RACHUNOW MD
Controlled Substance Registration for Practitioner


Address: 250 E 54th St #29b, New York, NY 10022

JEREMIE R RACHUNOW MD (Credential# 275814) 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

JEREMIE R RACHUNOW MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030752. 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 250 E 54th St #29b, New York, NY 10022. The current status is active.

Basic Information

Licensee Name JEREMIE R RACHUNOW MD
Credential ID 275814
Credential Number CSP.0030752
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 250 E 54th St #29b
New York
NY 10022
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2001-04-10
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
556700 1.039112 Physician/Surgeon 2000-11-15 2019-08-01 - 2020-07-31 ACTIVE

Office Location

Street Address 250 E 54TH ST #29B
City NEW YORK
State NY
Zip Code 10022

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City NEW YORK
Zip Code 10022
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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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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