AGNIESZKA E GROCHOWALSKA
Controlled Substance Registration for Practitioner


Address: 3 Dorchester Ct, Matawan, NJ 07747-6642

AGNIESZKA E GROCHOWALSKA (Credential# 446261) 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

AGNIESZKA E GROCHOWALSKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039904. 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 3 Dorchester Ct, Matawan, NJ 07747-6642. The current status is active.

Basic Information

Licensee Name AGNIESZKA E GROCHOWALSKA
Credential ID 446261
Credential Number CSP.0039904
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3 Dorchester Ct
Matawan
NJ 07747-6642
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2006-10-30
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
999549 1.050146 Physician/Surgeon 2011-07-18 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 3 DORCHESTER CT
City MATAWAN
State NJ
Zip Code 07747-6642

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Jaime A Silva 201 Villanova Pl, Matawan, NJ 07747 Professional Engineer 2020-02-01 ~ 2021-01-31
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Competitor

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City MATAWAN
Zip Code 07747
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MATAWAN

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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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