SIMON K GORWARA MD
Controlled Substance Registration for Practitioner


Address: 1 Columbia St, Poughkeepsie, NY 12601

SIMON K GORWARA MD (Credential# 349950) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

SIMON K GORWARA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034082. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2008. The expiration date is February 28, 2009. The business address is 1 Columbia St, Poughkeepsie, NY 12601. The current status is inactive.

Basic Information

Licensee Name SIMON K GORWARA MD
Credential ID 349950
Credential Number CSP.0034082
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1 Columbia St
Poughkeepsie
NY 12601
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2008-03-01
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
559413 1.041830 Physician/Surgeon 2003-09-02 2007-02-05 - 2008-02-29 INACTIVE

Office Location

Street Address 1 COLUMBIA ST
City POUGHKEEPSIE
State NY
Zip Code 12601

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Louis W Kantaros Md 1 Columbia St, Poughkeepsie, NY 12601 Physician/surgeon 2019-12-01 ~ 2020-11-30

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Competitor

Search similar business entities

City POUGHKEEPSIE
Zip Code 12601
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + POUGHKEEPSIE

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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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