CHRISTOPHER W WASYLIW MD
Controlled Substance Registration for Practitioner


Address: 2019 Alaqua Lakes Blvd, Longwood, FL 32779-3196

CHRISTOPHER W WASYLIW MD (Credential# 437470) 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

CHRISTOPHER W WASYLIW MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039121. 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 2019 Alaqua Lakes Blvd, Longwood, FL 32779-3196. The current status is active.

Basic Information

Licensee Name CHRISTOPHER W WASYLIW MD
Credential ID 437470
Credential Number CSP.0039121
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2019 Alaqua Lakes Blvd
Longwood
FL 32779-3196
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2006-05-10
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
561777 1.044195 Physician/Surgeon 2006-03-28 2019-10-01 - 2020-09-30 ACTIVE
373711 CSP.0035122 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-07-06 2006-03-01 - 2007-02-28 INACTIVE

Office Location

Street Address 2019 ALAQUA LAKES BLVD
City LONGWOOD
State FL
Zip Code 32779-3196

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Henry F Holman 2705 Cattail Court, Longwood, FL 32779 Professional Engineer 2019-12-03 ~ 2021-01-31
Mark Appelbaum 2809 Tupelo Court, Longwood, FL 32779 Notary Public Appointment 2012-05-01 ~ 2017-05-31
Elizabeth K Vilece 3346 Park Grove Ct., Longwood, FL 32779 Registered Nurse 2019-12-01 ~ 2020-11-30
Hailey Anne Duncan 5 Stone Gate N, Longwood, FL 32779 Registered Nurse 2017-10-24 ~ 2018-05-31
Nicolina G Newman 417 Summit Ridge Place, Longwood, FL 32779 Real Estate Salesperson 2010-06-01 ~ 2011-05-31
Tracey L Swaynos 216 Sweetwater Creek Drive East, Longwood, FL 32779 Engineer-in-training 2006-05-09 ~ 2016-05-09
Jay D Gewolb 1759 Cocoplum Court, Longwood, FL 32779 Physician/surgeon 2015-06-01 ~ 2016-05-31
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Competitor

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City LONGWOOD
Zip Code 32779
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONGWOOD

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Christopher R Parker Dds 201 North St, Middlebury, CT 06762 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
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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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