ALLEN M WILLIAMS
Controlled Substance Registration for Practitioner


Address: 41 W 86th St Apt 10, New York, NY 10024-3608

ALLEN M WILLIAMS (Credential# 340951) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 30, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

ALLEN M WILLIAMS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033749. The credential type is controlled substance registration for practitioner. The effective date is August 30, 2007. The expiration date is February 29, 2008. The business address is 41 W 86th St Apt 10, New York, NY 10024-3608. The current status is inactive.

Basic Information

Licensee Name ALLEN M WILLIAMS
Credential ID 340951
Credential Number CSP.0033749
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 41 W 86th St Apt 10
New York
NY 10024-3608
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-06-22
Effective Date 2007-08-30
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
559513 1.041930 Physician/Surgeon 2003-10-16 2005-06-20 - 2006-06-30 PENDING
1306146 CSP.0061332 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER - EXPIRED APPLICATION

Office Location

Street Address 41 W 86TH ST APT 10
City NEW YORK
State NY
Zip Code 10024-3608

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City NEW YORK
Zip Code 10024
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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