FREDERICK F. GUIDA
Controlled Substance Registration for Practitioner


Address: 111 Prospect Dr, Chappaqua, NY 10514

FREDERICK F. GUIDA (Credential# 327576) 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

FREDERICK F. GUIDA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033020. 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 111 Prospect Dr, Chappaqua, NY 10514. The current status is active.

Basic Information

Licensee Name FREDERICK F. GUIDA
Credential ID 327576
Credential Number CSP.0033020
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 111 Prospect Dr
Chappaqua
NY 10514
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2002-12-04
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-16

Other licenses

ID Credential Code Credential Type Issue Term Status
548457 1.030433 Physician/Surgeon 1989-11-10 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address 111 PROSPECT DR
City CHAPPAQUA
State NY
Zip Code 10514

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James David Shorser 480 Bedford Road Suite 4202, Chappaqua, NY 10514 Physician/surgeon 2020-08-01 ~ 2021-07-31
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Ross A Cole Briskman 26 Douglas Rd, Chappaqua, NY 10514 Architect 2020-08-01 ~ 2021-07-31
Eric M Dorsch 37 Aldridge Road, Chappaqua, NY 10514 Landscape Architect 2020-08-01 ~ 2021-07-31
Lauren R Safran 6 Chappaqua Mountain Road, Chappaqua, NY 10514 Licensed Clinical Social Worker 2020-06-01 ~ 2021-05-31
Stacy Weinberg 75 High Way, Chappaqua, NY 10514 Real Estate Salesperson 2019-06-01 ~ 2020-05-31
Rita H Stern Raveis 75 N Greeley Ave, Chappaqua, NY 10514 Real Estate Salesperson 2017-06-01 ~ 2018-05-31
Samuel Goldfarb 2 Sunset Drive North, Chappaqua, NY 10514 Notary Public Appointment 2015-05-29 ~ 2020-05-31
John Panzone 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 Physician/surgeon ~
Boris Usherenko 480 Bedford Road, Chappaqua, NY 10514 Physician/surgeon 2020-06-01 ~ 2021-05-31
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Competitor

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City CHAPPAQUA
Zip Code 10514
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHAPPAQUA

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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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