AL O GIWA
Controlled Substance Registration for Practitioner


Address: 24 Clifton Pl, Brooklyn, NY 11238-1202

AL O GIWA (Credential# 411881) 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

AL O GIWA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037878. 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 24 Clifton Pl, Brooklyn, NY 11238-1202. The current status is active.

Basic Information

Licensee Name AL O GIWA
Credential ID 411881
Credential Number CSP.0037878
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 24 Clifton Pl
Brooklyn
NY 11238-1202
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-08-10
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
561297 1.043715 Physician/Surgeon 2005-08-08 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 24 CLIFTON PL
City BROOKLYN
State NY
Zip Code 11238-1202

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Competitor

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City BROOKLYN
Zip Code 11238
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLYN

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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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