ASAF A GAVE MD
Controlled Substance Registration for Practitioner


Address: 101 Anaconda St, Staten Island, NY 10312

ASAF A GAVE MD (Credential# 329605) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

ASAF A GAVE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033105. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 101 Anaconda St, Staten Island, NY 10312. The current status is inactive.

Basic Information

Licensee Name ASAF A GAVE MD
Credential ID 329605
Credential Number CSP.0033105
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 101 Anaconda St
Staten Island
NY 10312
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2004-02-29
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
558938 1.041355 Physician/Surgeon 2003-04-16 2003-06-26 - 2004-07-31 INACTIVE

Office Location

Street Address 101 ANACONDA ST
City STATEN ISLAND
State NY
Zip Code 10312

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Competitor

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City STATEN ISLAND
Zip Code 10312
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STATEN ISLAND

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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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