GLEN B GECHLIK
Controlled Substance Registration for Practitioner


Address: 17 Nashawena Ave, West Haven, CT 06516-7047

GLEN B GECHLIK (Credential# 374648) 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

GLEN B GECHLIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035258. 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 17 Nashawena Ave, West Haven, CT 06516-7047. The current status is active.

Basic Information

Licensee Name GLEN B GECHLIK
Credential ID 374648
Credential Number CSP.0035258
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 17 Nashawena Ave
West Haven
CT 06516-7047
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-07-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-22

Other licenses

ID Credential Code Credential Type Issue Term Status
559653 1.042071 Physician/Surgeon 2003-12-31 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 17 NASHAWENA AVE
City WEST HAVEN
State CT
Zip Code 06516-7047

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Competitor

Search similar business entities

City WEST HAVEN
Zip Code 06516
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN

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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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