KELLI L BRADY DDS
Controlled Substance Registration for Practitioner


Address: 340 E. 51st St., New York, NY 10016

KELLI L BRADY DDS (Credential# 479361) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 15, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

KELLI L BRADY DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042276. The credential type is controlled substance registration for practitioner. The effective date is March 15, 2011. The expiration date is February 28, 2013. The business address is 340 E. 51st St., New York, NY 10016. The current status is inactive.

Basic Information

Licensee Name KELLI L BRADY DDS
Credential ID 479361
Credential Number CSP.0042276
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 340 E. 51st St.
New York
NY 10016
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2007-08-14
Effective Date 2011-03-15
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Office Location

Street Address 340 E. 51st St.
City New York
State NY
Zip Code 10016

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City New York
Zip Code 10016
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New York

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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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